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KERI ANN DERAUF M.S., CCC-SLP
NPI 1649678723
Speech-Language Pathologist in Minnetonka, MN

Active since December 05, 2014
10273 YELLOW CIRCLE DR, MINNETONKA, MN 55343(952) 401-9359 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keri Ann Derauf M.s., Ccc-slp NPPES

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

KERI ANN DERAUF M.S., CCC-SLP (NPI 1649678723) is an individual speech-language pathologist provider in Minnetonka, Minnesota, licensed in Minnesota (9136) and active in the NPI registry since December 2014. She maintains a secondary practice location in Burnsville.

NPPES Registry Identity

NPI1649678723
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKERI ANN DERAUFCredential: M.S., CCC-SLP
Location Address10273 YELLOW CIRCLE DRMinnetonka, MN 55343-9144
Mailing Address9260 Upland Ln NMaple Grove, MN 55369-8456 · (952) 297-4613
Phone(952) 401-9359
Sole ProprietorNo
Enumeration DateDecember 5, 2014
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1649678723 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 · 9136
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.
10273 YELLOW CIRCLE DR, Minnetonka, MN 55343
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Secondary Practice Location 1

Location 114301 Ewing Ave SBurnsville, MN 55306-4885 · Phone (952) 746-5350 · Fax (952) 746-6131

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keri Ann Derauf M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Keri Derauf reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Holland Center
Same address
Day Training, Developmentally Disabled Services
10273 YELLOW CIRCLE DRIVE
Minnetonka, MN 55343
  • Reassigned Medicare billing, Minnesota enrollment
  • 14 clinicians in this Medicare group
NPI 1467641555 (952) 401-9359
Strengths In Motion LLC
16 mi
Occupational Therapist
2900 EAGLE BLUFF CIR STE 110
Medina, MN 55340
  • Reassigned Medicare billing, Minnesota enrollment
  • 2 clinicians in this Medicare group
NPI 1760241558 (262) 470-4438

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.

JOE TONDA
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359
EMILY ANN KNUDSON
Behavior Analyst
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359
KATHRYN AUTUMN BYZEWSKI
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 215-3753
STEPHANIE TAFT BCBA
Behavior Analyst
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 215-3764
MAKENNA TAYLOR NIEMAN
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359
GRACE MARIE WOLGEMUTH
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359
KATHRYN KRISTINE LIPPITT M.A., BCBA, LBA
Behavior Analyst
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (763) 300-0494
AUBREY ELIZABETH HENDRICKSON
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359

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 Keri Derauf's NPI number?

The NPI number for Keri Derauf is 1649678723. It was assigned to this individual provider in the NPPES registry on December 5, 2014.

Where is Keri Derauf located?

Keri Derauf practices at 10273 Yellow Circle Dr, Minnetonka, MN 55343. The listed phone number is (952) 401-9359.

What is Keri Derauf's specialty?

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

Is Keri Derauf enrolled in Medicare?

Yes. Keri Derauf is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Keri Derauf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keri Derauf reassigns Medicare benefits to 2 organizations: Holland Center (Minnetonka, MN) and Strengths In Motion LLC (Medina, 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 Keri Derauf'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 Keri Derauf was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.