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ELIZABETH ANN PETERSON
NPI 1184640260
Speech-Language Pathologist in Duluth, MN

Active since July 14, 2006
1600 MILLER TRUNK HWY STE 1300, DULUTH, MN 55811(218) 786-3392 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elizabeth Ann Peterson NPPES

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

ELIZABETH ANN PETERSON (NPI 1184640260) is an individual speech-language pathologist provider in Duluth, Minnesota, licensed in Minnesota (7210) and active in the NPI registry since July 2006. She maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1184640260
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameELIZABETH ANN PETERSON
Location Address1600 MILLER TRUNK HWY STE 1300Duluth, MN 55811-5640
Mailing Address530 E 2nd StDuluth, MN 55805-1913 · (218) 786-5360
Phone(218) 786-3392
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1184640260 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 · 7210
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.
1600 MILLER TRUNK HWY STE 1300, Duluth, MN 55811
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Secondary Practice Location 1

Location 1530 E 2nd StDuluth, MN 55805-1913 · Phone (218) 786-5360

Other Identifiers 2

Medicaid42791500WI
Other4600318Medica

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

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

The Duluth Clinic Ltd
Same address
Multi-Specialty
1600 MILLER TRUNK HWY STE 1300
Duluth, MN 55811
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,460 clinicians in this Medicare group
NPI 1245855162 (218) 786-3392

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 17

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

EMILIE J WARD
Social Worker (Clinical)
1600 MILLER TRUNK HWY STE 1300
DULUTH, MN 55811
St. Louis County (218) 786-3392
SARAH LANETTA GROW OTR/L
Occupational Therapist
1600 MILLER TRUNK HWY STE 1300
DULUTH, MN 55811
St. Louis County (218) 786-3392
CIELO A MOONEY CCC/SLP
Speech-Language Pathologist
1600 MILLER TRUNK HWY STE 1300
DULUTH, MN 55811
St. Louis County (218) 786-3392
AMY ELIZABETH BEHRENS SPROAT SLP
Speech-Language Pathologist
1600 MILLER TRUNK HWY STE 1300
DULUTH, MN 55811
St. Louis County (218) 786-3392
THE DULUTH CLINIC LTD
Clinic/Center (Multi-Specialty)
1600 MILLER TRUNK HWY STE 1300
DULUTH, MN 55811
St. Louis County (218) 786-3392
KELCIE N DRIESSEN OTR/L
Occupational Therapist
1600 MILLER TRUNK HWY STE 1300
DULUTH, MN 55811
St. Louis County (218) 786-3392
MS. ANJA NICOLE STROMME OTR/L
Occupational Therapist
1600 MILLER TRUNK HWY STE 1300
DULUTH, MN 55811
St. Louis County (218) 786-3392
ALYSSIA PUCEL OTR
Occupational Therapist
1600 MILLER TRUNK HWY STE 1300
DULUTH, MN 55811
St. Louis County (218) 786-8364

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 Elizabeth Peterson's NPI number?

The NPI number for Elizabeth Peterson is 1184640260. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Elizabeth Peterson located?

Elizabeth Peterson practices at 1600 Miller Trunk Hwy Ste 1300, Duluth, MN 55811. The listed phone number is (218) 786-3392.

What is Elizabeth Peterson's specialty?

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

Is Elizabeth Peterson enrolled in Medicare?

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

Which organization bills Medicare for Elizabeth Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Peterson reassigns Medicare benefits to The Duluth Clinic Ltd (Duluth, 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 Elizabeth 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 Elizabeth Peterson was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.