ELLEN DORR
NPI 1205411428
Speech-Language Pathologist in Andover, MN
About Ellen Dorr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN DORR (NPI 1205411428) is an individual speech-language pathologist provider in Andover, Minnesota and active in the NPI registry since March 2021.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellen Dorr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ellen Dorr reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Andover, MN 55304
- Reassigned Medicare billing, Minnesota enrollment
- 112 clinicians in this Medicare group
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.
ANDOVER, MN 55304
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 Ellen Dorr's NPI number?
The NPI number for Ellen Dorr is 1205411428. It was assigned to this individual provider in the NPPES registry on March 10, 2021.
Where is Ellen Dorr located?
Ellen Dorr practices at 1891 Station Pkwy NW, Andover, MN 55304. The listed phone number is (763) 755-4275.
What is Ellen Dorr's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Ellen Dorr enrolled in Medicare?
Yes. Ellen Dorr is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ellen Dorr's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Dorr 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 Ellen Dorr'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 Ellen Dorr was last updated on October 14, 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.
# Ellen Dorr · NPI 1205411428
Speech-Language Pathologist provider in Andover, Minnesota. Individual provider, active in the CMS NPPES registry since March 10, 2021.
## Identity
- **NPI:** 1205411428 (Entity type: Individual)
- **Enumerated:** March 10, 2021
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1891 STATION PKWY NW, Andover, MN 55304-3341
- **Phone:** (763) 755-4275
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Family Speech & Therapy Services, LLC (NPI 1235285966, Andover, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1205411428) · Data from the CMS NPPES public registry.