Jennifer Jane Anderson, PH.D
NPI 1023559465ActiveIndividual· Psychologist· St Louis Park, MN
Opted out of Medicare from May 2018 to May 2028. Psychologist (PH.D) in St Louis Park, Minnesota, licensed in MN, with an NPI issued in March 2017.
Overview
| NPI | 1023559465 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D |
| Sole proprietor | Yes |
| NPI issued | Mar 18, 2017 |
| Last updated in NPPES | Mar 18, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP3525 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out May 22, 2018 – May 22, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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