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ANNA UDENBERG
NPI 1053968537
Speech-Language Pathologist in Maplewood, MN

Active since August 20, 2019
2495 MAPLEWOOD DR STE 313, MAPLEWOOD, MN 55109(651) 770-8884 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anna Udenberg NPPES

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

ANNA UDENBERG (NPI 1053968537) is an individual speech-language pathologist provider in Maplewood, Minnesota, licensed in Minnesota (10198) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1053968537
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANNA UDENBERG
Location Address2495 MAPLEWOOD DR STE 313Maplewood, MN 55109-1985
Mailing Address2078 Lincoln Ave Lowr UnitSaint Paul, MN 55105-1043
Phone(651) 770-8884
Sole ProprietorNo
Enumeration DateAugust 20, 2019
✔ NPI 1053968537 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 · 10198
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.
2495 MAPLEWOOD DR STE 313, Maplewood, MN 55109
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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)

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

Medicare Billing Reassignment

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

Family Achievement Center Inc.
7.8 mi
Occupational Therapist
2101 WOODDALE DR, SUITE A
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 59 clinicians in this Medicare group
NPI 1952411175 (651) 738-9888

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 10

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

JULIE SWEDBURG MS, CCC-SLP
Speech-Language Pathologist
2495 MAPLEWOOD DR STE 313
MAPLEWOOD, MN 55109
Ramsey County (651) 770-8884
INTERACTIVE THERAPY SERVICES, INC.
Speech-Language Pathologist
2495 MAPLEWOOD DR STE 313
MAPLEWOOD, MN 55109
Ramsey County (651) 770-8884
LAURA LEA JAEGER DPT
Physical Therapist
2495 MAPLEWOOD DR STE 313
MAPLEWOOD, MN 55109
Ramsey County (651) 770-8884
MRS. BROOKE ANN GHANBARZADEH
Speech-Language Pathologist
2495 MAPLEWOOD DR STE 313
MAPLEWOOD, MN 55109
Ramsey County (651) 770-8884
TRISTA LYNN MOORE DPT
Physical Therapist
2495 MAPLEWOOD DR STE 313
MAPLEWOOD, MN 55109
Ramsey County (651) 770-8884
ALAYNA MARIE MCCAWLEY
Occupational Therapist (Pediatrics)
2495 MAPLEWOOD DR STE 313
MAPLEWOOD, MN 55109
Ramsey County (763) 732-2991
MELANIE CAROL SANMIGUEL MS CCC SLP
Speech-Language Pathologist
2495 MAPLEWOOD DR STE 313
MAPLEWOOD, MN 55109
Ramsey County (651) 770-8884
COLLEEN WOYACH MA, CF-SLP
Speech-Language Pathologist
2495 MAPLEWOOD DR STE 313
MAPLEWOOD, MN 55109
Ramsey County (651) 770-8884

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 Anna Udenberg's NPI number?

The NPI number for Anna Udenberg is 1053968537. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is Anna Udenberg located?

Anna Udenberg practices at 2495 Maplewood Dr Ste 313, Maplewood, MN 55109. The listed phone number is (651) 770-8884.

What is Anna Udenberg's specialty?

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

Is Anna Udenberg enrolled in Medicare?

Yes. Anna Udenberg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anna Udenberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Udenberg reassigns Medicare benefits to Family Achievement Center Inc. (Woodbury, 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 Anna Udenberg'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 Anna Udenberg was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.