MS. LISA CAROL BECKSTROM MA, CCC-SLP
NPI 1417019035
Speech-Language Pathologist in St Louis Park, MN

Q: What is Lisa Beckstrom's NPI number?

The NPI number for Lisa Beckstrom is 1417019035. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Q: What is Lisa Beckstrom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Beckstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 14, 2006Accepts Medicare Assignment

6500 EXCELSIOR BLVD, REHAB SERVICES - SPEECH PATHOLOGY, ST LOUIS PARK, MN 55426(952) 993-5498(952) 993-5585 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ms. Lisa Carol Beckstrom Ma, Ccc-slp NPPES

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

MS. LISA CAROL BECKSTROM MA, CCC-SLP (NPI 1417019035) is an individual speech-language pathologist provider in St Louis Park, Minnesota, licensed in Minnesota (5642) and active in the NPI registry since December 2006. She is a graduate of Other (1991).

NPPES Registry Identity

NPI1417019035

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMS. LISA CAROL BECKSTROMCredential: MA, CCC-SLP

Location Address6500 EXCELSIOR BLVD, REHAB SERVICES - SPEECH PATHOLOGYSt Louis Park, MN 55426-4702

Mailing Address5641 Adair Ave NCrystal, MN 55429-2706 · (952) 993-5498 · Fax (952) 993-5585

Phone(952) 993-5498

Fax(952) 993-5585

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateDecember 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417019035 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 · 5642

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.

6500 EXCELSIOR BLVD, St Louis Park, MN 55426

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lisa Carol Beckstrom Ma, Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315087871

PECOS Enrollment IDI20091215000321

Medicare Billing Reassignment

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

Park Nicollet Methodist Hospital

0.8 mi

General Acute Care Hospital

3900 PARK NICOLLET BLVD
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Park Nicollet Clinic
2,527 clinicians in this Medicare group

NPI 1194113217 (952) 993-1953

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of swallowing function image 92611

An evaluation of swallowing function image is a diagnostic procedure. It involves capturing images of your throat as you swallow. This helps identify any issues with swallowing, which could be due to various conditions like stroke, cancer, or nerve disease.

66 services55 patients

Treatment of swallowing and feeding disorder 92526

Treatment for swallowing and feeding disorders involves a team of specialists who will work together to improve your ability to eat and drink safely. This may include exercises to strengthen swallowing muscles, dietary changes, or special techniques to make swallowing easier.

27 services23 patients

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.

NANCY COLE NELSON M.D.

Obstetrics & Gynecology

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3282

DR. KATIE LYNN ANDRINAS MD, MPH

Obstetrics & Gynecology

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3282

CARA HOULE MD

Internal Medicine

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-5000

JANET GRAYSON MD

Internal Medicine

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-6600

JEFFREY J SHULTZ

Internal Medicine (Cardiovascular Disease)

6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC - HEART & VASCULAR CENTER
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3246

MARY BETH JOHNSON OTR/L

Occupational Therapist

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-6087

MARY KATHERINE KOSANDA P.T.

Physical Therapist

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-6014

JENNIFER A DEUTZ P.T.

Physical Therapist

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-5900

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 Lisa Beckstrom's NPI number?

The NPI number for Lisa Beckstrom is 1417019035. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Lisa Beckstrom located?

Lisa Beckstrom practices at 6500 Excelsior Blvd Rehab Services - Speech Pathology, St Louis Park, MN 55426. The listed phone number is (952) 993-5498.

What is Lisa Beckstrom's specialty?

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

Is Lisa Beckstrom enrolled in Medicare?

Yes. Lisa Beckstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lisa Beckstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Beckstrom reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, 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 Lisa Beckstrom'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 Lisa Beckstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.