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NICOLE MORRISSEY
NPI 1053971630
Speech-Language Pathologist in Andover, MN

Active since June 17, 2019
1891 STATION PKWY NW, ANDOVER, MN 55304(763) 350-0371 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 16, 2022, Jun 17, 2019 (2 updates tracked since 2019).

About Nicole Morrissey NPPES

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

NICOLE MORRISSEY (NPI 1053971630) is an individual speech-language pathologist provider in Andover, Minnesota and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1053971630
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameNICOLE MORRISSEY
Location Address1891 STATION PKWY NWAndover, MN 55304-3341
Mailing Address1891 Station Pkwy NwAndover, MN 55304-3341
Phone(763) 350-0371
Sole ProprietorNo
Enumeration DateJune 17, 2019
Last NPPES UpdateFebruary 16, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
✔ NPI 1053971630 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
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.
1891 STATION PKWY NW, Andover, MN 55304
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Other Names 1

Former Name (1)Nicole Pothen

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

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

Park Nicollet Clinic
6.4 mi
Family Medicine
7000 TARGET PKWY N
Brooklyn Park, MN 55445
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
NPI 1447668678 (952) 977-1985

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.

MEGAN DIERKING
Speech-Language Pathologist
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 755-4275
COURTNEY WAGNER
Speech-Language Pathologist
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 755-4275
KRISTINA DOSE MA, SLLP-CF/DE
Speech-Language Pathologist
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 755-4275
MS. KELSEY ANNE WEGNER M.A., CCC-SLP
Speech-Language Pathologist
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 755-4275
ELLEN JOHNSON OTR/L
Occupational Therapist (Pediatrics)
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 755-4275
KAYLA BRAUN
Speech-Language Pathologist
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 755-4275
LISA MICHELLE LUKE OTR/L
Occupational Therapist
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 755-4275
MRS. GINA MARIA FRATTALONE BIGELBACH MAOTR/L
Occupational Therapist
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 755-4275

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 Nicole Morrissey's NPI number?

The NPI number for Nicole Morrissey is 1053971630. It was assigned to this individual provider in the NPPES registry on June 17, 2019. The provider is also known as Nicole Pothen.

Where is Nicole Morrissey located?

Nicole Morrissey practices at 1891 Station Pkwy NW, Andover, MN 55304. The listed phone number is (763) 350-0371.

What is Nicole Morrissey's specialty?

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

Is Nicole Morrissey enrolled in Medicare?

Yes. Nicole Morrissey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Morrissey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Morrissey reassigns Medicare benefits to Park Nicollet Clinic (Brooklyn Park, 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 Nicole Morrissey'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 Nicole Morrissey was last updated on February 16, 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.