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MRS. KENDALL MARIE CEDERSTROM M.S.
NPI 1396120572
Speech-Language Pathologist in Minneapolis, MN

Active since July 29, 2015
420 DELEWARE STREET SE, MMC 106/MAYO B-414 UNIVERSITY OF MINNESOTA HEALTH,, MINNEAPOLIS, MN 55414(612) 273-5961 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Kendall Marie Cederstrom M.s. NPPES

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

MRS. KENDALL MARIE CEDERSTROM M.S. (NPI 1396120572) is an individual speech-language pathologist provider in Minneapolis, Minnesota, licensed in Minnesota (9528) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1396120572
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. KENDALL MARIE CEDERSTROMCredential: M.S.
Location Address420 DELEWARE STREET SE, MMC 106/MAYO B-414 UNIVERSITY OF MINNESOTA HEALTH,Minneapolis, MN 55414
Mailing Address420 Quinlan Ave NLakeland, MN 55043-9494 · (651) 245-2676
Phone(612) 273-5961
Sole ProprietorNo
Enumeration DateJuly 29, 2015
Last NPPES UpdateMay 4, 2026
NPPES CertifiedMay 4, 2026
✔ NPI 1396120572 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 · 9528
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.
420 DELEWARE STREET SE, Minneapolis, MN 55414
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Other Names 1

Former Name (1)Kendall Marie Sexe Slp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kendall Marie Cederstrom M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

4

Medicare enrollment records show Kendall Cederstrom reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
0.4 mi
Cardiovascular Disease
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1629224258 (612) 625-3600
Fairview Health Services
0.5 mi
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1013994359 (612) 672-6000
Fairview Specialty Services
0.5 mi
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
NPI 1043199334 (855) 324-7843
Healtheast Outpatient Services, LLC
3.2 mi
Physical Therapist
1700 UNIVERSITY AVE W, 7TH FLOOR
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 124 clinicians in this Medicare group
NPI 1225382526 (651) 232-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kendall Cederstrom's NPI number?

The NPI number for Kendall Cederstrom is 1396120572. It was assigned to this individual provider in the NPPES registry on July 29, 2015. The provider is also known as Kendall Marie Sexe Slp.

Where is Kendall Cederstrom located?

Kendall Cederstrom practices at 420 Deleware Street SE Mmc 106/Mayo B-414 University Of Minnesota Health,, Minneapolis, MN 55414. The listed phone number is (612) 273-5961.

What is Kendall Cederstrom's specialty?

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

Is Kendall Cederstrom enrolled in Medicare?

Yes. Kendall Cederstrom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kendall Cederstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendall Cederstrom reassigns Medicare benefits to 4 organizations: Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN) and Healtheast Outpatient Services, LLC (Saint Paul, MN). Each 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 Kendall Cederstrom'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 Kendall Cederstrom was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.