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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELIZABETH MARILYN PETERSON MS
NPI 1013691401
Speech-Language Pathologist in Fridley, MN

Active since June 14, 2023
7241 UNIVERSITY AVE NE, FRIDLEY, MN 55432(763) 450-9400 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2026, Jun 14, 2023 (2 updates tracked since 2023).

About Elizabeth Marilyn Peterson Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH MARILYN PETERSON MS (NPI 1013691401) is an individual speech-language pathologist provider in Fridley, Minnesota, licensed in Minnesota (LICC-3104) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1013691401
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameELIZABETH MARILYN PETERSONCredential: MS
Location Address7241 UNIVERSITY AVE NEFridley, MN 55432-3134
Mailing Address7241 University Ave NeFridley, MN 55432-3134 · (763) 450-9400
Phone(763) 450-9400
Sole ProprietorNo
Enumeration DateJune 14, 2023
Last NPPES UpdateOctober 5, 20262 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1013691401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MN · LICC-3104
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
7241 UNIVERSITY AVE NE, Fridley, MN 55432
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Marilyn Peterson Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Metro Therapy Special Children's Clinic
0.1 mi
Occupational Therapist
7241 UNIVERSITY AVE NE
Fridley, MN 55432
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Metro Therapy Special Childrens Clinic
  • 18 clinicians in this Medicare group
NPI 1568873388 (763) 450-9400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN E HUBERTY OTD, OTR/L
Occupational Therapist (Pediatrics)
7241 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 450-9400
KATE PATEK
Speech-Language Pathologist
7241 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 450-9400
RILEY HARRIS
Speech-Language Pathologist
7241 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 634-6937
REILLY PETERSON DPT
Physical Therapist
7241 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 450-9400
OLIVIA TERESE KIDD OTD
Occupational Therapist
7241 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 450-9400
SARAH HETZ
Speech-Language Pathologist
7241 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 450-9400
MCKAYLA BECKER OTD
Occupational Therapist
7241 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 450-9400
EMILY MAE WOLFRAM
Occupational Therapist
7241 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 450-9400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Peterson's NPI number?

The NPI number for Elizabeth Peterson is 1013691401. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Elizabeth Peterson located?

Elizabeth Peterson practices at 7241 University Ave NE, Fridley, MN 55432. The listed phone number is (763) 450-9400.

What is Elizabeth Peterson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Elizabeth Peterson enrolled in Medicare?

Yes. Elizabeth Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Peterson reassigns Medicare benefits to Metro Therapy Special Children's Clinic (Fridley, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Peterson was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.