Jackie Sue Niemand, LIC PSYCHOLOGIST - Psychologist in Stillwater, MN

Jackie Sue Niemand, LIC PSYCHOLOGIST is a Psychologist based in Stillwater, Minnesota. Jackie Sue Niemand is licensed to practice in Minnesota (license number LP3518) and her current practice location is 6381 Osgood Ave N Ste 8, Stillwater, Minnesota. She can be reached at her office (for appointments etc.) via phone at (651) 275-9680.

NPI number for Jackie Sue Niemand is 1417958893 and her current mailing address is 6381 Osgood Ave N Ste 8, Stillwater, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417958893.

Contact Information

Jackie Sue Niemand, LIC PSYCHOLOGIST
6381 Osgood Ave N Ste 8,
Stillwater, MN 55082-6182
(651) 275-9680
(651) 430-9296

Map and Direction




Healthcare Provider's Profile

Full NameJackie Sue Niemand
GenderFemale
SpecialityPsychologist
Location6381 Osgood Ave N Ste 8, Stillwater, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417958893
  • Provider Enumeration Date: 08/09/2005
  • Last Update Date: 02/10/2021

Medical Identifiers

Medical identifiers for Jackie Sue Niemand such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417958893NPI-NPPES
56B45NIOtherMNBLUE CROSS BLUE SHIELD MN
6236625OtherMNUNITED BEHAVIORAL HEALTH
154015700MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent LP3518 (Minnesota)Secondary
103TF0000XPsychologist - Family LP3518 (Minnesota)Secondary
103T00000XPsychologist LP3518 (Minnesota)Primary
103TB0200XPsychologist - Cognitive & Behavioral LP3518 (Minnesota)Secondary
103TC1900XPsychologist - Counseling LP3518 (Minnesota)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie Sue Niemand is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackie Sue Niemand, LIC PSYCHOLOGIST
6381 Osgood Ave N Ste 8,
Stillwater, MN 55082-6182

Ph: (651) 275-9680
Jackie Sue Niemand, LIC PSYCHOLOGIST
6381 Osgood Ave N Ste 8,
Stillwater, MN 55082-6182

Ph: (651) 275-9680

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.