Jenna Etzold, LP
NPI 1538707898ActiveIndividual· Psychologist· Bismarck, ND
Psychologist (LP) with St Alexius Medical Center, practicing in Bismarck, North Dakota. Enrolled in Medicare as practitioner - clinical psychologist. Lists Chi St Alexius Health as a hospital affiliation.
Overview
| NPI | 1538707898 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LP |
| Sole proprietor | No |
| NPI issued | Dec 18, 2019 |
| Last updated in NPPES | Dec 18, 2019 |
| Certified by provider | Dec 18, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 577 | ND |
| Psychologist | 103T00000X | — | — |
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) | Enrolled Practitioner - Clinical Psychologist (ND) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- St Alexius Medical CenterBismarck, ND · 238 clinicians
Hospital affiliation
- Chi St Alexius HealthBismarck, ND
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