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GRANT STARK
NPI 1649960386
Speech-Language Pathologist in Inver Grove Heights, MN

Active since May 08, 2023
2060 UPPER 55TH ST E, INVER GROVE HEIGHTS, MN 55077(651) 294-7332 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 3, 2026, May 8, 2023 (2 updates tracked since 2023).

About Grant Stark NPPES

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

GRANT STARK (NPI 1649960386) is an individual speech-language pathologist provider in Inver Grove Heights, Minnesota, licensed in Minnesota (528350) and active in the NPI registry since May 2023. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1649960386
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameGRANT STARK
Location Address2060 UPPER 55TH ST EInver Grove Heights, MN 55077-1725
Mailing Address2060 Upper 55th St EInver Grove Heights, MN 55077-1725 · (651) 294-7332
Phone(651) 294-7332
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 8, 2023
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1649960386 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 · 528350
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.
2060 UPPER 55TH ST E, Inver Grove Heights, MN 55077
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grant Stark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204390099
PECOS Enrollment IDI20260713002490

Medicare Billing Reassignment

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

Blue Stone Therapy Inc.
227 mi
Physical Medicine & Rehabilitation
2830 100TH ST STE 100
Urbandale, IA 50322
  • Reassigned Medicare billing, Minnesota enrollment
  • 46 clinicians in this Medicare group
NPI 1932797297 (515) 225-4070

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 2

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

INVER WOOD HEALTHCARE CENTER INC
Skilled Nursing Facility
2060 UPPER 55TH ST E
INVER GROVE HEIGHTS, MN 55077
Dakota County (651) 451-1881
MR. STEPHEN GERARD EBERT SLP
Speech-Language Pathologist
2060 UPPER 55TH ST E
INVER GROVE HEIGHTS, MN 55077
Dakota County (952) 955-2242

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 Grant Stark's NPI number?

The NPI number for Grant Stark is 1649960386. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Grant Stark located?

Grant Stark practices at 2060 Upper 55th St E, Inver Grove Heights, MN 55077. The listed phone number is (651) 294-7332.

What is Grant Stark's specialty?

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

Is Grant Stark enrolled in Medicare?

Yes. Grant Stark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Grant Stark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grant Stark reassigns Medicare benefits to Blue Stone Therapy Inc. (Urbandale, IA). 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 Grant Stark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grant Stark accept?

Health plans from Medica list Grant Stark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grant Stark was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.