KATYANA MARIE WIEDENMAN MS
NPI 1770899577
Speech-Language Pathologist in Fargo, ND
About Katyana Marie Wiedenman Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATYANA MARIE WIEDENMAN MS (NPI 1770899577) is an individual speech-language pathologist provider in Fargo, North Dakota, licensed in North Dakota (1119) and active in the NPI registry since August 2010. She is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Katyana Marie Wiedenman Ms 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.
Medicare Billing Reassignment
Medicare enrollment records show Katyana Wiedenman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fargo, ND 58104
- Reassigned Medicare billing, North Dakota enrollment
- 5 clinicians in this Medicare group
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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FARGO, ND 58103
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 Katyana Wiedenman's NPI number?
The NPI number for Katyana Wiedenman is 1770899577. It was assigned to this individual provider in the NPPES registry on August 31, 2010. The provider is also known as Katyana Marie Eleson.
Where is Katyana Wiedenman located?
Katyana Wiedenman practices at 1220 Main Ave Suite 120, Fargo, ND 58103. The listed phone number is (701) 364-5433.
What is Katyana Wiedenman's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Katyana Wiedenman enrolled in Medicare?
Yes. Katyana Wiedenman 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 Katyana Wiedenman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katyana Wiedenman reassigns Medicare benefits to Kennelly Speech Language Pathology Ltd (Fargo, ND). 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 Katyana Wiedenman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katyana Wiedenman accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Katyana Wiedenman 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 Katyana Wiedenman was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Katyana Marie Wiedenman, MS · NPI 1770899577
Speech-Language Pathologist provider in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since August 31, 2010.
## Identity
- **NPI:** 1770899577 (Entity type: Individual)
- **Enumerated:** August 31, 2010
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 1119 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1220 MAIN AVE, SUITE 120, Fargo, ND 58103-8201
- **Phone:** (701) 364-5433 · **Fax:** (701) 364-2256
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Kennelly Speech Language Pathology Ltd (NPI 1154370187, Fargo, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 20, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1770899577) · Data from the CMS NPPES public registry.