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KAMRYN PETERSON MS, CCC-SLP
NPI 1861388647
Speech-Language Pathologist in Grand Forks, ND

Active since June 17, 2025
2200 LIBRARY CIR, GRAND FORKS, ND 58201(701) 772-3851(701) 757-2156 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2026, Jun 17, 2025 (2 updates tracked since 2025).

About Kamryn Peterson Ms, Ccc-slp NPPES

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

KAMRYN PETERSON MS, CCC-SLP (NPI 1861388647) is an individual speech-language pathologist provider in Grand Forks, North Dakota, licensed in North Dakota (2908) and active in the NPI registry since June 2025. She maintains a secondary practice location in Grand Forks.

NPPES Registry Identity

NPI1861388647
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKAMRYN PETERSONCredential: MS, CCC-SLP
Location Address2200 LIBRARY CIRGrand Forks, ND 58201-6326
Mailing Address2200 Library CirGrand Forks, ND 58201-6326
Phone(701) 772-3851
Fax(701) 757-2156
Sole ProprietorNo
Enumeration DateJune 17, 2025
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1861388647 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 ND · 2908
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.
2200 LIBRARY CIR, Grand Forks, ND 58201
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Secondary Practice Location 1

Location 12951 S 34th StGrand Forks, ND 58201-6061 · Phone (701) 772-3851 · Fax (701) 772-3852

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kamryn Peterson Ms, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Kamryn Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Little Miracles, Inc.
1.4 mi
Multi-Specialty
2951 S 34TH ST
Grand Forks, ND 58201
  • Reassigned Medicare billing, North Dakota enrollment
  • 27 clinicians in this Medicare group
NPI 1821110982 (701) 772-3851
Family Speech & Therapy Services, LLC
257 mi
Speech-Language Pathologist
1891 STATION PKWY NW
Andover, MN 55304
  • Reassigned Medicare billing, Minnesota enrollment
  • 112 clinicians in this Medicare group
NPI 1235285966 (763) 755-4275

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 18

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

MAKAYLA MURDEN OTR/L, OTD
Occupational Therapist
2200 LIBRARY CIR
GRAND FORKS, ND 58201
Grand Forks County (701) 757-2155
MRS. ARLENE JOHNSON DPT
Physical Therapist
2200 LIBRARY CIR
GRAND FORKS, ND 58201
Grand Forks County (701) 757-2155
AMBER LYN PRIGGE BROWN MOTR/L
Occupational Therapist
2200 LIBRARY CIR
GRAND FORKS, ND 58201
Grand Forks County (701) 757-2155
ANNE MARIE SHELDON PT
Physical Therapist (Pediatrics)
2200 LIBRARY CIR
GRAND FORKS, ND 58201
Grand Forks County (701) 757-2155
LAURA HENNES
Occupational Therapist
2200 LIBRARY CIR
GRAND FORKS, ND 58201
Grand Forks County (701) 757-2155
ELIZABETH ANN ZAVORAL MS, CARE COORDINATOR
Case Manager/Care Coordinator
2200 LIBRARY CIR
GRAND FORKS, ND 58201
Grand Forks County (701) 757-2155
DREW BECKER
Occupational Therapist
2200 LIBRARY CIR
GRAND FORKS, ND 58201
Grand Forks County (701) 757-2155
AMANDA RICKETT MS, CFY-SLP
Speech-Language Pathologist
2200 LIBRARY CIR
GRAND FORKS, ND 58201
Grand Forks County (701) 757-2155

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 Kamryn Peterson's NPI number?

The NPI number for Kamryn Peterson is 1861388647. It was assigned to this individual provider in the NPPES registry on June 17, 2025.

Where is Kamryn Peterson located?

Kamryn Peterson practices at 2200 Library Cir, Grand Forks, ND 58201. The listed phone number is (701) 772-3851.

What is Kamryn Peterson's specialty?

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

Is Kamryn Peterson enrolled in Medicare?

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

Which organizations bill Medicare for Kamryn Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kamryn Peterson reassigns Medicare benefits to 2 organizations: Little Miracles, Inc. (Grand Forks, ND) and Family Speech & Therapy Services, LLC (Andover, MN). Each 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 Kamryn Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kamryn Peterson accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Kamryn Peterson 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 Kamryn Peterson was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.