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SHAINA PETERSON SLP
NPI 1174133003
Speech-Language Pathologist in Saint Cloud, MN

Active since August 05, 2020
1900 CENTRACARE CIR STE 1575, SAINT CLOUD, MN 56303(320) 229-4922 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shaina Peterson Slp NPPES

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

SHAINA PETERSON SLP (NPI 1174133003) is an individual speech-language pathologist provider in Saint Cloud, Minnesota, licensed in Minnesota (10368) and active in the NPI registry since August 2020. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174133003
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHAINA PETERSONCredential: SLP
Location Address1900 CENTRACARE CIR STE 1575Saint Cloud, MN 56303-5000
Mailing Address1900 Centracare Cir Ste 1575Saint Cloud, MN 56303-5000 · (320) 229-4922
Phone(320) 229-4922
Sole ProprietorNo
Enumeration DateAugust 5, 2020
Last NPPES UpdateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1174133003 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 · 10368
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.
1900 CENTRACARE CIR STE 1575, Saint Cloud, MN 56303
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Secondary Practice Locations 2

Location 13401 45th St SFargo, ND 58104-8970 · Phone (701) 356-4384
Location 23060 Frontier Way SFargo, ND 58104-8909 · Phone (701) 232-2340

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaina Peterson Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Pediatric Therapy Partners, Inc.
198 mi
Occupational Therapist
419 ATLANTIC AVE
Thief River Falls, MN 56701
  • Reassigned Medicare billing, North Dakota enrollment
  • 79 clinicians in this Medicare group
NPI 1457479958 (701) 232-2340

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 11

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

ELLIANA MARTIN
Speech-Language Pathologist
1900 CENTRACARE CIR STE 1575
SAINT CLOUD, MN 56303
Stearns County (320) 229-4922
MR. JEFFREY JAMES DERR MD
Physical Medicine & Rehabilitation
1900 CENTRACARE CIR STE 1575, ST. CLOUD HOSPITAL/PLAZA REHABILITATION
ST CLOUD, MN 56303
Stearns County (320) 229-4944
CHELSEA MARIA STEFFENS OTR/L
Occupational Therapist
1900 CENTRACARE CIR STE 1575
SAINT CLOUD, MN 56303
Stearns County (320) 229-4922
MARISSA ANN VIRNIG JOHNSON
Nurse Practitioner (Family)
1900 CENTRACARE CIR STE 1575
SAINT CLOUD, MN 56303
Stearns County (320) 229-4944
LINDSAY THEISEN OTR/L
Occupational Therapist
1900 CENTRACARE CIR STE 1575
SAINT CLOUD, MN 56303
Stearns County (320) 229-4922
MR. JARED KARAS
Speech-Language Pathologist
1900 CENTRACARE CIR STE 1575
SAINT CLOUD, MN 56303
Stearns County (320) 229-4922
MATTHEW HEILING DPT
Physical Therapist (Orthopedic)
1900 CENTRACARE CIR STE 1575
SAINT CLOUD, MN 56303
Stearns County (320) 229-4922
LEAH REDING MS, SLP-CCC
Speech-Language Pathologist
1900 CENTRACARE CIR STE 1575
SAINT CLOUD, MN 56303
Stearns County (320) 229-4922

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 Shaina Peterson's NPI number?

The NPI number for Shaina Peterson is 1174133003. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Where is Shaina Peterson located?

Shaina Peterson practices at 1900 Centracare Cir Ste 1575, Saint Cloud, MN 56303. The listed phone number is (320) 229-4922.

What is Shaina Peterson's specialty?

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

Is Shaina Peterson enrolled in Medicare?

Yes. Shaina Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shaina Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaina Peterson reassigns Medicare benefits to Pediatric Therapy Partners, Inc. (Thief River Falls, 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 Shaina Peterson'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 Shaina Peterson was last updated on August 31, 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.