ELYSE MARILEE MCCOSHEN CCC/SLP
NPI 1023565603
Speech-Language Pathologist in Duluth, MN

Q: What is Elyse Mccoshen's NPI number?

The NPI number for Elyse Mccoshen is 1023565603. It was assigned to this individual provider in the NPPES registry on September 1, 2016. The provider is also known as Elyse Marilee Gunderson Ccc/Slp.

Q: What is Elyse Mccoshen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elyse Mccoshen was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since September 01, 2016

ESSENTIA HEALTH ST MARY'S MEDICAL CENTER, 407 EAST THIRD STREET, DULUTH, MN 55805(218) 786-4000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Nov 28, 2017, Jun 16, 2017 and 1 more (4 updates tracked since 2016).

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About Elyse Marilee Mccoshen Ccc/slp NPPES

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

ELYSE MARILEE MCCOSHEN CCC/SLP (NPI 1023565603) is an individual speech-language pathologist provider in Duluth, Minnesota, licensed in Minnesota (9655) and active in the NPI registry since September 2016. She is a graduate of University Of Minnesota, Duluth School Of Medicine (2016).

NPPES Registry Identity

NPI1023565603

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameELYSE MARILEE MCCOSHENCredential: CCC/SLP

Location AddressESSENTIA HEALTH ST MARY'S MEDICAL CENTER, 407 EAST THIRD STREETDuluth, MN 55805-1950

Mailing AddressEssentia Health Duluth Clinic Mcl2cred, 400 East Third StreetDuluth, MN 55805-1951 · (218) 786-4000

Phone(218) 786-4000

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota, Duluth School Of MedicineGraduated 2016

Enumeration DateSeptember 1, 2016

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1023565603 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 · 9655

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.

ESSENTIA HEALTH ST MARY'S MEDICAL CENTER, Duluth, MN 55805

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Other Names 1

Former Name (1)Elyse Marilee Gunderson Ccc/slp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elyse Marilee Mccoshen Ccc/slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830674779

PECOS Enrollment IDI20260330001591

Medicare Billing Reassignment

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

The Duluth Clinic, Ltd

0.5 mi

Multi-Specialty

400 E 3RD ST
Duluth, MN 55805

Reassigned Medicare billing, Minnesota enrollment
1,460 clinicians in this Medicare group

NPI 1245278209 (218) 786-8364

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

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 Elyse Mccoshen's NPI number?

The NPI number for Elyse Mccoshen is 1023565603. It was assigned to this individual provider in the NPPES registry on September 1, 2016. The provider is also known as Elyse Marilee Gunderson Ccc/Slp.

Where is Elyse Mccoshen located?

Elyse Mccoshen practices at Essentia Health St Mary's Medical Center 407 East Third Street, Duluth, MN 55805. The listed phone number is (218) 786-4000.

What is Elyse Mccoshen's specialty?

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

Is Elyse Mccoshen enrolled in Medicare?

Yes. Elyse Mccoshen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elyse Mccoshen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elyse Mccoshen reassigns Medicare benefits to The Duluth Clinic, Ltd (Duluth, 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 Elyse Mccoshen'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 Elyse Mccoshen was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.