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KERRY LOUISE KRUEGER
NPI 1073809943
Speech-Language Pathologist in St. Louis Park, MN

Active since June 20, 2011
6500 EXCELSIOR BLVD., ST. LOUIS PARK, MN 55426(952) 883-1000 Get Directions Write a Review

NPPES record last updated: June 6, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2017, Apr 14, 2017 (2 updates tracked since 2017).

About Kerry Louise Krueger NPPES

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

KERRY LOUISE KRUEGER (NPI 1073809943) is an individual speech-language pathologist provider in St. Louis Park, Minnesota, licensed in Minnesota (8734) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1073809943
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKERRY LOUISE KRUEGER
Location Address6500 EXCELSIOR BLVD.St. Louis Park, MN 55426
Mailing Address8170 33rd Ave S, Mail Stop 21110qMinneapolis, MN 55440
Phone(952) 883-1000
Sole ProprietorNo
Enumeration DateJune 20, 2011
Last NPPES UpdateJune 6, 20172 updates tracked since enumeration
✔ NPI 1073809943 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 · 8734
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.
6500 EXCELSIOR BLVD., St. Louis Park, MN 55426
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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)

Kerry Louise Krueger is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Park Nicollet Methodist Hospital
0.8 mi
General Acute Care Hospital
3900 PARK NICOLLET BLVD
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Park Nicollet Clinic
  • 2,527 clinicians in this Medicare group
NPI 1194113217 (952) 993-1953

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 8

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

DANIELLE KENT OTR/L
Occupational Therapist
6500 EXCELSIOR BLVD.
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-5000
MEGAN KELLEY
Occupational Therapist
6500 EXCELSIOR BLVD.
SAINT LOUIS PARK, MN 55426
Hennepin County (952) 883-5000
NANCY HAYER MS-CCC-SLP
Speech-Language Pathologist
6500 EXCELSIOR BLVD.
ST. LOUIS PARK, MN 55426
Hennepin County (952) 993-5000
NATHAN E LUECK M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
6500 EXCELSIOR BLVD.
SAINT LOUIS PARK, MN 55426
Hennepin County (952) 993-5290
DANIELLE FLAGSTAD OTR/L
Occupational Therapist (Physical Rehabilitation)
6500 EXCELSIOR BLVD.
ST. LOUIS PARK, MN 55426
Hennepin County (952) 993-5000
MRS. JULIA LOUISE SANDS PT
Physical Therapist
6500 EXCELSIOR BLVD., METHODIST HOSPITAL
ST. LOUIS PARK, MN 55426
Hennepin County (952) 993-0712
MS. KARI LYNN UNKE MAT-CCC-SLP
Speech-Language Pathologist
6500 EXCELSIOR BLVD., REHABILITATION SERVICES - SPEECH PATHOLOGY
ST. LOUIS PARK, MN 55426
Hennepin County (952) 993-9161
KATHERINE FUCHS
Physical Therapist
6500 EXCELSIOR BLVD.
ST. LOUIS PARK, MN 55426
Hennepin County (952) 993-5000

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 Kerry Krueger's NPI number?

The NPI number for Kerry Krueger is 1073809943. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Kerry Krueger located?

Kerry Krueger practices at 6500 Excelsior Blvd., St. Louis Park, MN 55426. The listed phone number is (952) 883-1000.

What is Kerry Krueger's specialty?

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

Is Kerry Krueger enrolled in Medicare?

Yes. Kerry Krueger is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kerry Krueger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Krueger reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis 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 Kerry Krueger'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 Kerry Krueger was last updated on June 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.