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TINA FAUSETT MS, CCC-SLP
NPI 1871721514
Speech-Language Pathologist in Eden Prairie, MN

Active since July 01, 2009
11455 VIKING DR, SUITE 300, EDEN PRAIRIE, MN 55344(952) 993-2498(952) 993-2505 Get Directions Write a Review

NPPES record last updated: July 1, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tina Fausett Ms, Ccc-slp NPPES

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

TINA FAUSETT MS, CCC-SLP (NPI 1871721514) is an individual speech-language pathologist provider in Eden Prairie, Minnesota, licensed in Minnesota (7620) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1871721514
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameTINA FAUSETTCredential: MS, CCC-SLP
Location Address11455 VIKING DR, SUITE 300Eden Prairie, MN 55344-7251
Mailing Address11455 Viking Dr, Suite 300Eden Prairie, MN 55344-7251
Phone(952) 993-2498
Fax(952) 993-2505
Sole ProprietorYes
Enumeration DateJuly 1, 2009
✔ NPI 1871721514 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 · 7620
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.
11455 VIKING DR, Eden Prairie, MN 55344
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Other Names 1

Former Name (1)Tina Pirkl Ms, Ccc-slp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

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

Park Nicollet Methodist Hospital
6.0 mi
General Acute Care Hospital
3900 PARK NICOLLET BLVD
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Park Nicollet Clinic
  • 2,527 clinicians in this Medicare group
NPI 1194113217 (952) 993-1953

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 6

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

STEPHEN OLSEN
Psychologist
11455 VIKING DR, SUITE 300
EDEN PRAIRIE, MN 55344
Hennepin County (952) 993-2498
DR. STEPHEN A BONFILIO PHD
Psychologist (Clinical)
11455 VIKING DR, STE 300
EDEN PRAIRIE, MN 55344
Hennepin County (952) 993-2498
THOMAS R SCOTT
Pediatrics
11455 VIKING DR, STE 300, PARK NICOLLET CLINIC - ALEXANDER CENTER
EDEN PRAIRIE, MN 55344
Hennepin County (952) 993-2498
AMY TANNAHILL
Nurse Practitioner (Pediatrics)
11455 VIKING DR, STE 300
EDEN PRAIRIE, MN 55344
Hennepin County (952) 993-2498
DR. DANIEL P BARRON PSYD, LMFT
Psychologist (Family)
11455 VIKING DR, STE 300
EDEN PRAIRIE, MN 55344
Hennepin County (952) 993-2498
MRS. AMY LEANN HORNING L.I.C.S.W.
Social Worker (Clinical)
11455 VIKING DR, STE 300
EDEN PRAIRIE, MN 55344
Hennepin County (952) 993-2498

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 Tina Fausett's NPI number?

The NPI number for Tina Fausett is 1871721514. It was assigned to this individual provider in the NPPES registry on July 1, 2009. The provider is also known as Tina Pirkl Ms, Ccc-Slp.

Where is Tina Fausett located?

Tina Fausett practices at 11455 Viking Dr Suite 300, Eden Prairie, MN 55344. The listed phone number is (952) 993-2498.

What is Tina Fausett's specialty?

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

Is Tina Fausett enrolled in Medicare?

Yes. Tina Fausett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tina Fausett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Fausett reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, 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 Tina Fausett'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 Tina Fausett was last updated on July 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.