1. Home
  2. Directory
  3. Minnesota
  4. Waconia
  5. Speech Language Pathologist
  6. NPI Profile

KELLIE MCKEAG M.S., CCC-SLP
NPI 1912508383
Speech-Language Pathologist in Waconia, MN

Active since November 03, 2020
9346 OAK AVE, WACONIA, MN 55387(952) 223-2506 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2021, Jan 18, 2021, Dec 8, 2020 and 1 more (4 updates tracked since 2020).

About Kellie Mckeag M.s., Ccc-slp NPPES

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

KELLIE MCKEAG M.S., CCC-SLP (NPI 1912508383) is an individual speech-language pathologist provider in Waconia, Minnesota, licensed in Minnesota (10360) and active in the NPI registry since November 2020. She maintains a secondary practice location in Eagan.

NPPES Registry Identity

NPI1912508383
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLIE MCKEAGCredential: M.S., CCC-SLP
Location Address9346 OAK AVEWaconia, MN 55387-9422
Mailing Address9346 Oak AveWaconia, MN 55387-9422 · (952) 223-2506
Phone(952) 223-2506
Sole ProprietorNo
Enumeration DateNovember 3, 2020
Last NPPES UpdateDecember 8, 20214 updates tracked since enumeration
NPPES CertifiedDecember 8, 2021
✔ NPI 1912508383 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 · 10360
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.
9346 OAK AVE, Waconia, MN 55387
Open in Google Maps ↗

Secondary Practice Location 1

Location 12030 Rahn WayEagan, MN 55122-2300 · Phone (651) 529-1975

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellie Mckeag M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Sunnydays Therapy Inc
0.1 mi
Occupational Therapist
9346 OAK AVE
Waconia, MN 55387
  • Reassigned Medicare billing, Minnesota enrollment
  • 115 clinicians in this Medicare group
NPI 1891914412 (952) 223-2506

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.

NORA LIND
Occupational Therapist
9346 OAK AVE
WACONIA, MN 55387
Carver County (952) 223-2506
CARLI HALLDORSON
Speech-Language Pathologist
9346 OAK AVE
WACONIA, MN 55387
Carver County (952) 223-2506
KIRSTIN AMBER PETERS MS, OTR/L
Occupational Therapist
9346 OAK AVE
WACONIA, MN 55387
Carver County (952) 223-2506
ANN LANDREVILLE
Occupational Therapist
9346 OAK AVE
WACONIA, MN 55387
Carver County (952) 223-2506
LINDSAY MEEKIN
Occupational Therapist
9346 OAK AVE
WACONIA, MN 55387
Carver County (952) 223-2506
NICHOLAS FEIGE
Occupational Therapist
9346 OAK AVE
WACONIA, MN 55387
Carver County (952) 223-2506
CASSIDY LEE SCHWINGHAMMER
Speech-Language Pathologist
9346 OAK AVE
WACONIA, MN 55387
Carver County (952) 223-2506
ANDREA ELIZABETH GUIMONT MS, OTR/L
Occupational Therapist
9346 OAK AVE
WACONIA, MN 55387
Carver County (952) 223-2506

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 Kellie Mckeag's NPI number?

The NPI number for Kellie Mckeag is 1912508383. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Where is Kellie Mckeag located?

Kellie Mckeag practices at 9346 Oak Ave, Waconia, MN 55387. The listed phone number is (952) 223-2506.

What is Kellie Mckeag's specialty?

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

Is Kellie Mckeag enrolled in Medicare?

Yes. Kellie Mckeag is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kellie Mckeag's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Mckeag reassigns Medicare benefits to Sunnydays Therapy Inc (Waconia, 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 Kellie Mckeag'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 Kellie Mckeag was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.