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MRS. STEPHANIE PETERSON M.A.
NPI 1790927713
Speech-Language Pathologist in Cambridge, MN

Active since April 06, 2009
1994 E RUM RIVER DR S, CAMBRIDGE, MN 55008(763) 689-5385(763) 689-5558 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Stephanie Peterson M.a. NPPES

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

MRS. STEPHANIE PETERSON M.A. (NPI 1790927713) is an individual speech-language pathologist provider in Cambridge, Minnesota, licensed in Minnesota (9835) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1790927713
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. STEPHANIE PETERSONCredential: M.A.
Location Address1994 E RUM RIVER DR SCambridge, MN 55008-2663
Mailing Address1994 E Rum River Dr SCambridge, MN 55008-2663 · (763) 689-5385 · Fax (763) 689-5558
Phone(763) 689-5385
Fax(763) 689-5558
Sole ProprietorNo
Enumeration DateApril 6, 2009
Last NPPES UpdateMarch 28, 2018
✔ NPI 1790927713 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 · 9835
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.
1994 E RUM RIVER DR S, Cambridge, MN 55008
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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)

Mrs. Stephanie Peterson M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Children's Therapy Works, Inc
47 mi
Occupational Therapist
2653 COUNTY ROAD 74
Saint Cloud, MN 56301
  • Reassigned Medicare billing, Minnesota enrollment
  • 10 clinicians in this Medicare group
NPI 1811077977 (320) 229-4069

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.

JACKIE E GEVING
Behavior Technician
1994 E RUM RIVER DR S
CAMBRIDGE, MN 55008
Isanti County (763) 689-5385
MADELINE KETT
Behavior Technician
1994 E RUM RIVER DR S
CAMBRIDGE, MN 55008
Isanti County (763) 689-5385
ALEXA STROMBERG
Behavior Analyst
1994 E RUM RIVER DR S
CAMBRIDGE, MN 55008
Isanti County (763) 276-0673
MEGAN ROMIA ROUSE
Behavior Technician
1994 E RUM RIVER DR S
CAMBRIDGE, MN 55008
Isanti County (763) 689-5385
DANIELLE CHARTIER
Occupational Therapist
1994 E RUM RIVER DR S
CAMBRIDGE, MN 55008
Isanti County (763) 689-5385
KABRINA RAYE ALDERTON
Behavior Technician
1994 E RUM RIVER DR S
CAMBRIDGE, MN 55008
Isanti County (763) 689-5385
HANNAH MERCEDES HOLMES
Behavior Technician
1994 E RUM RIVER DR S
CAMBRIDGE, MN 55008
Isanti County (763) 689-5385
LINDA MORTENSON LPT
Physical Therapist
1994 E RUM RIVER DR S
CAMBRIDGE, MN 55008
Isanti County (763) 689-5385

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 Stephanie Peterson's NPI number?

The NPI number for Stephanie Peterson is 1790927713. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Stephanie Peterson located?

Stephanie Peterson practices at 1994 E Rum River Dr S, Cambridge, MN 55008. The listed phone number is (763) 689-5385.

What is Stephanie Peterson's specialty?

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

Is Stephanie Peterson enrolled in Medicare?

Yes. Stephanie Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stephanie Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Peterson reassigns Medicare benefits to Children's Therapy Works, Inc (Saint Cloud, 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 Stephanie Peterson'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 Stephanie Peterson was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.