CASSIDY KRAWCZAK-KUMMROW
NPI 1699668533
Speech-Language Pathologist in Eden Prairie, MN

Q: What is Cassidy Krawczak-kummrow's NPI number?

The NPI number for Cassidy Krawczak-kummrow is 1699668533. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Q: What is Cassidy Krawczak-kummrow's specialty?

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

Active since May 30, 2025Accepts Medicare Assignment

6545 FLYING CLOUD DR STE 201, EDEN PRAIRIE, MN 55344(612) 364-1901 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Cassidy Krawczak-kummrow NPPES

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

CASSIDY KRAWCZAK-KUMMROW (NPI 1699668533) is an individual speech-language pathologist provider in Eden Prairie, Minnesota and active in the NPI registry since May 2025. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1699668533

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameCASSIDY KRAWCZAK-KUMMROW

Location Address6545 FLYING CLOUD DR STE 201Eden Prairie, MN 55344-3356

Mailing Address6545 Flying Cloud Dr Ste 201Eden Prairie, MN 55344-3356 · (612) 364-1901

Phone(612) 364-1901

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 30, 2025

NPPES CertifiedMay 30, 2025

✔ NPI 1699668533 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

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.

6545 FLYING CLOUD DR STE 201, Eden Prairie, MN 55344

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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

Cassidy Krawczak-kummrow 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 ID5294245734

PECOS Enrollment IDI20250612001032

Medicare Billing Reassignment

Medicare enrollment records show Cassidy Krawczak-kummrow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Odom Sports Medicine, P.A.

Same address

Sports Medicine

6545 FLYING CLOUD DR STE 201
Eden Prairie, MN 55344

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Odom Sports Medicine PA
92 clinicians in this Medicare group

NPI 1275557886 (952) 224-1919

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.

LINDA JEANNE MIX YATES SLP

Speech-Language Pathologist