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KELSEY RODGERS
NPI 1053024323
Speech-Language Pathologist in Rogers, MN

Active since January 03, 2023
14000 NORTHDALE BLVD STE A, ROGERS, MN 55374(763) 428-2478 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 5, 2023, Jan 3, 2023 (2 updates tracked since 2023).

About Kelsey Rodgers NPPES

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

KELSEY RODGERS (NPI 1053024323) is an individual speech-language pathologist provider in Rogers, Minnesota, licensed in Minnesota (518280) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1053024323
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELSEY RODGERS
Location Address14000 NORTHDALE BLVD STE ARogers, MN 55374-4663
Mailing Address2835 W Saint Germain StSaint Cloud, MN 56301-6280 · (320) 259-4151
Phone(763) 428-2478
Sole ProprietorNo
Enumeration DateJanuary 3, 2023
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1053024323 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 · 518280
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.
14000 NORTHDALE BLVD STE A, Rogers, MN 55374
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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)

Kelsey Rodgers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Autism Matters, Inc.
15 mi
Speech-Language Pathologist
2600 FERNBROOK LN N STE 138
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 6 clinicians in this Medicare group
NPI 1649469289 (952) 544-0349

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 20

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

PATIENCE S PAYE
Behavior Technician
14000 NORTHDALE BLVD STE A
ROGERS, MN 55374
Hennepin County (763) 428-2478
KELLIE BAKER
Behavior Technician
14000 NORTHDALE BLVD STE A
ROGERS, MN 55374
Hennepin County (952) 544-0349
JANELLE FRANCE
Behavior Analyst
14000 NORTHDALE BLVD STE A
ROGERS, MN 55374
Hennepin County (763) 428-2478
EMMA ELIZABETH CALCAMUGGIO
Behavior Technician
14000 NORTHDALE BLVD STE A
ROGERS, MN 55374
Hennepin County (763) 428-2478
KAYLEE MAE ATHMANN
Behavior Analyst
14000 NORTHDALE BLVD STE A
ROGERS, MN 55374
Hennepin County (763) 428-2478
LYNDSEY FROGNER
Behavior Analyst
14000 NORTHDALE BLVD STE A
ROGERS, MN 55374
Hennepin County (763) 428-2478
SAMANTHA MARIE HANSON
Behavior Technician
14000 NORTHDALE BLVD STE A
ROGERS, MN 55374
Hennepin County (763) 428-2478
ABIGAIL DAWN COVINGTON
Behavior Technician
14000 NORTHDALE BLVD STE A
ROGERS, MN 55374
Hennepin County (763) 428-2478

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 Kelsey Rodgers's NPI number?

The NPI number for Kelsey Rodgers is 1053024323. It was assigned to this individual provider in the NPPES registry on January 3, 2023.

Where is Kelsey Rodgers located?

Kelsey Rodgers practices at 14000 Northdale Blvd Ste A, Rogers, MN 55374. The listed phone number is (763) 428-2478.

What is Kelsey Rodgers's specialty?

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

Is Kelsey Rodgers enrolled in Medicare?

Yes. Kelsey Rodgers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelsey Rodgers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Rodgers reassigns Medicare benefits to Autism Matters, Inc. (Plymouth, 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 Kelsey Rodgers'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 Kelsey Rodgers was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.