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MADISON WILDER KROEHLER CCC-SLP
NPI 1760163919
Speech-Language Pathologist in Minneapolis, MN

Active since July 31, 2023
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414(612) 309-8362 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Madison Wilder Kroehler Ccc-slp NPPES

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

MADISON WILDER KROEHLER CCC-SLP (NPI 1760163919) is an individual speech-language pathologist provider in Minneapolis, Minnesota and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1760163919
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMADISON WILDER KROEHLERCredential: CCC-SLP
Location Address3333 UNIVERSITY AVE SEMinneapolis, MN 55414-3325
Mailing Address3333 University Ave SeMinneapolis, MN 55414-3325
Phone(612) 309-8362
Sole ProprietorNo
Enumeration DateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1760163919 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.
3333 UNIVERSITY AVE SE, Minneapolis, MN 55414
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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 (PECOS)

Madison Wilder Kroehler Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Park Nicollet Clinic
3.3 mi
Family Medicine
1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
NPI 1912315144 (952) 977-0700

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.

LYDIA SHULL
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413
MYSTIC MAKEPEACE
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 767-7222
FATIMA MUHUDIN ALI
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 475-9231
MICAH ALICIA HERNDON
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (201) 589-3367
CHLOE MARGO SARGENT
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413
MATTHEW LAUREN POWELL
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413
JAMONDA KELLY
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413
ASHLEY LYNN WITT LPCC
Counselor (Professional)
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413

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 Madison Kroehler's NPI number?

The NPI number for Madison Kroehler is 1760163919. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Madison Kroehler located?

Madison Kroehler practices at 3333 University Ave SE, Minneapolis, MN 55414. The listed phone number is (612) 309-8362.

What is Madison Kroehler's specialty?

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

Is Madison Kroehler enrolled in Medicare?

Yes. Madison Kroehler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madison Kroehler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Kroehler reassigns Medicare benefits to Park Nicollet Clinic (Minneapolis, 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 Madison Kroehler'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 Madison Kroehler was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.