Jacqueline Pieper
NPI 1679315774ActiveIndividual· Speech-Language Pathologist· Eden Prairie, MN
Speech-Language Pathologist with Odom Sports Medicine PA, practicing in Eden Prairie, Minnesota. Medicare paid $7,684 for services to 35 patients in 2024.
Overview
| NPI | 1679315774 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 10, 2024 |
| Last updated in NPPES | Jun 10, 2024 |
| Certified by provider | Jun 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 124 across 3 procedure codes |
| Paid by Medicare | $7,684 |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Odom Sports Medicine PAEden Prairie, MN · 61 clinicians
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All 46 speech-language pathologists in Eden Prairie · All speech-language pathologists in Minnesota