MS. NICOLE ANDREA CLARE
NPI 1083345219
Speech-Language Pathologist in Maple Grove, MN

Active since June 20, 2022
8980 ZACHARY LN N, MAPLE GROVE, MN 55369(612) 767-7222 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Nicole Andrea Clare NPPES

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

MS. NICOLE ANDREA CLARE (NPI 1083345219) is an individual speech-language pathologist provider in Maple Grove, Minnesota, licensed in Minnesota (529154) and active in the NPI registry since June 2022. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1083345219
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. NICOLE ANDREA CLARE
Location Address8980 ZACHARY LN NMaple Grove, MN 55369-4018
Mailing Address8980 Zachary Ln NMaple Grove, MN 55369-4018 · (612) 767-7222
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 20, 2022
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
NPI 1083345219 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 · 529154
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.
8980 ZACHARY LN N, Maple Grove, MN 55369

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2567957830
PECOS Enrollment IDI20251223004454

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.

Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369
Behavior Technician
8980 ZACHARY LN N
MAPLE GROVE, MN 55369

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 Clare's NPI number?

The NPI number for Nicole Clare is 1083345219. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Nicole Clare located?

Nicole Clare practices at 8980 Zachary Ln N, Maple Grove, MN 55369. The listed phone number is (612) 767-7222.

What is Nicole Clare's specialty?

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

Is Nicole Clare enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Clare was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.