MS. JESSICA MIKACEVICH (PT) – Physical Therapist, NPI 1669728838

MS. JESSICA MIKACEVICH (PT) is a healthcare provider. based in Burnsville, Minnesota. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 9098 (MN). The NPI Number for MS. JESSICA MIKACEVICH (PT) is 1669728838

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MS. JESSICA MIKACEVICH (PT)
NPI
1669728838
Phone
(763) 201-8191
Address
172 COBBLESTONE LN
Enumeration Date
25 July 2012
Last Update Date
13 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529082710
Graduation Year
2012 (14 years ago)
PAC ID
3779732870
Group Practice PAC ID
6305739756
Professional Enrollment ID
I20121004000802
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for MS. JESSICA MIKACEVICH (PT)

  • 172 COBBLESTONE LN

    BURNSVILLE, MN 553374578

    Phone: (763) 201-8191

    Type: Location

  • 6700 FRANCE AVE S

    SUITE 230

    EDINA, MN 554351902

    Phone: (952) 908-2700

    Fax: (952) 908-2701

    Type: Mailing

  • 9645 GROVE CIR N STE 200

    MAPLE GROVE, MN 553692684

    Phone: (763) 201-8191

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55337)

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Provider's Procedures

MS. JESSICA MIKACEVICH (PT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMN97001Physical therapy evaluation1818

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305739756View full group profile

Reviews

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Frequently asked questions

What is the registry number for MS. JESSICA MIKACEVICH (PT)?
The registry entry for MS. JESSICA MIKACEVICH (PT) shows NPI 1669728838.
Does the public listing show MS. JESSICA MIKACEVICH (PT) as active?
MS. JESSICA MIKACEVICH (PT)'s NPI record reflects an active status in NPPES.
What type of care does MS. JESSICA MIKACEVICH (PT) provide?
MS. JESSICA MIKACEVICH (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. JESSICA MIKACEVICH (PT)?
MS. JESSICA MIKACEVICH (PT) is associated with Burnsville, Minnesota in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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