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NPI · 1770696726 · NPPES-sourced

Jacquelyn K. Wiersma, Ph. D., Lp, PLLC

ActiveClinical Psychologist
NPI Number
1770696726
Type 2 · Organisation
Taxonomy Code
103TC0700X
Contact
(952) 938-9499
License MN · LP1583
Last Updated
Enumerated
Primary practice addressMN · 55305-5196
3931 Auburn DrMinnetonka, MN 55305-5196
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About this NPIWhat this record shows.

NPI 1770696726 is registered to Jacquelyn K. Wiersma, Ph. D., Lp, PLLC, a healthcare organisation classified as "Clinical Psychologist" and located at 3931 Auburn Dr in Minnetonka, Minnesota. The organisation's authorised official is Jacquelyn Wiersma. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jacquelyn K. Wiersma, Ph. D., Lp, PLLC accepts. To confirm in-network status with your specific health plan, contact Jacquelyn K. Wiersma, Ph. D., Lp, PLLC directly at (952) 938-9499.

Frequently asked

Yes. NPI 1770696726 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Psychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (952) 938-9499.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jacquelyn K. Wiersma, Ph. D., Lp, PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy103TC0700X
Last updated
Enumerated
StatusActive
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