Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jacey Jo Wenner

Individual provider Pediatric Occupational Therapist · NPI 1225760804

Jacey Jo Wenner is registered under Occupational Therapist in Private Practice in Saint Peter, Minnesota. Qualified in 2022, 4 years ago. Practices with Odom Sports Medicine PA, a 69-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
Specialties on file
2

Practice location Address checks out

830 Sunrise Dr Ste B
Saint Peter, MN 56082-1203
Phone: (507) 935-3573
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 106966 (MN)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 5937 (MN)

Record details

NPI number1225760804
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2022
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Odom Sports Medicine Pa — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients62
Services billed 622 a service is one billed item, such as a visit, a test or a procedure
Average patient age83

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Odom Sports Medicine PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 69 clinicians in the practice; 12 are shown here.