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JESSICA HENDRICKSON
NPI 1790355758
Speech-Language Pathologist in Victoria, MN

Active since June 30, 2021
1772 STIEGER LAKE LN, VICTORIA, MN 55386(952) 443-9888 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jessica Hendrickson NPPES

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

JESSICA HENDRICKSON (NPI 1790355758) is an individual speech-language pathologist provider in Victoria, Minnesota, licensed in Minnesota (10561) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1790355758
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJESSICA HENDRICKSON
Location Address1772 STIEGER LAKE LNVictoria, MN 55386-7723
Mailing Address1772 Stieger Lake LnVictoria, MN 55386-7723 · (952) 443-9888
Phone(952) 443-9888
Sole ProprietorNo
Enumeration DateJune 30, 2021
NPPES CertifiedJune 30, 2021
✔ NPI 1790355758 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 · 10561
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.
1772 STIEGER LAKE LN, Victoria, MN 55386
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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)

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

Medicare Billing Reassignment

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

Kid Talk Inc
0.1 mi
Speech-Language Pathologist
1772 STEIGER LAKE LANE
Victoria, MN 55386
  • Reassigned Medicare billing, Minnesota enrollment
  • 26 clinicians in this Medicare group
NPI 1245315027 (952) 443-9888

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 16

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

MICHELE MILBURN MA, CCC-SLP
Speech-Language Pathologist
1772 STIEGER LAKE LN
VICTORIA, MN 55386
Carver County (952) 443-9888
TIFFANY KASHEIMER
Speech-Language Pathologist
1772 STIEGER LAKE LN
VICTORIA, MN 55386
Carver County (952) 443-9888
DR. BRANDON SUAREZ PSY.D.
Psychologist (Clinical)
1772 STIEGER LAKE LN
VICTORIA, MN 55386
Carver County (952) 443-4600
KARI QUINN OT
Occupational Therapist
1772 STIEGER LAKE LN
VICTORIA, MN 55386
Carver County (952) 443-9888
GRACE KATHERINE ANDERSON
Marriage & Family Therapist
1772 STIEGER LAKE LN
VICTORIA, MN 55386
Carver County (952) 443-4600
SAMANTHA CLOS
Student in an Organized Health Care Education/Training Program
1772 STIEGER LAKE LN
VICTORIA, MN 55386
Carver County (952) 443-4600
KAITLYN ROSE GOETTE MS/CCC-SLP
Speech-Language Pathologist
1772 STIEGER LAKE LN
VICTORIA, MN 55386
Carver County (952) 292-1967
HALEY ELIZABETH BACKDAHL
Student in an Organized Health Care Education/Training Program
1772 STIEGER LAKE LN
VICTORIA, MN 55386
Carver County (952) 443-4600

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 Jessica Hendrickson's NPI number?

The NPI number for Jessica Hendrickson is 1790355758. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Jessica Hendrickson located?

Jessica Hendrickson practices at 1772 Stieger Lake Ln, Victoria, MN 55386. The listed phone number is (952) 443-9888.

What is Jessica Hendrickson's specialty?

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

Is Jessica Hendrickson enrolled in Medicare?

Yes. Jessica Hendrickson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Hendrickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Hendrickson reassigns Medicare benefits to Kid Talk Inc (Victoria, 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 Jessica Hendrickson'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 Jessica Hendrickson was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.