1. Home
  2. Directory
  3. Minnesota
  4. Andover
  5. Speech Language Pathologist
  6. NPI Profile

MS. KIMBERLEE B GROSS M.A., CCC
NPI 1164701074
Speech-Language Pathologist in Andover, MN

Active since August 09, 2011
1891 STATION PKWY NW, ANDOVER, MN 55304(763) 755-4275(763) 755-4261 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 7, 2021, Aug 25, 2021 (2 updates tracked since 2021).

About Ms. Kimberlee B Gross M.a., Ccc NPPES

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

MS. KIMBERLEE B GROSS M.A., CCC (NPI 1164701074) is an individual speech-language pathologist provider in Andover, Minnesota, licensed in Minnesota (8562) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1164701074
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. KIMBERLEE B GROSSCredential: M.A., CCC
Location Address1891 STATION PKWY NWAndover, MN 55304-3341
Mailing Address1891 Station Pkwy NwAndover, MN 55304-3341 · (763) 755-4275 · Fax (763) 755-4261
Phone(763) 755-4275
Fax(763) 755-4261
Sole ProprietorNo
Enumeration DateAugust 9, 2011
Last NPPES UpdateSeptember 7, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2021
✔ NPI 1164701074 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 · 8562
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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimberlee B Gross M.a., Ccc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Family Speech & Therapy Services, LLC
Same address
Speech-Language Pathologist
1891 STATION PKWY NW
Andover, MN 55304
  • Reassigned Medicare billing, Minnesota enrollment
  • 112 clinicians in this Medicare group
NPI 1235285966 (763) 755-4275

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
NICOLE MORRISSEY
Speech-Language Pathologist
1891 STATION PKWY NW
ANDOVER, MN 55304
Anoka County (763) 350-0371
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

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 Kimberlee Gross's NPI number?

The NPI number for Kimberlee Gross is 1164701074. It was assigned to this individual provider in the NPPES registry on August 9, 2011.

Where is Kimberlee Gross located?

Kimberlee Gross practices at 1891 Station Pkwy NW, Andover, MN 55304. The listed phone number is (763) 755-4275.

What is Kimberlee Gross's specialty?

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

Is Kimberlee Gross enrolled in Medicare?

Yes. Kimberlee Gross is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberlee Gross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberlee Gross reassigns Medicare benefits to Family Speech & Therapy Services, LLC (Andover, 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 Kimberlee Gross'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 Kimberlee Gross was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.