CAROL RAE MICKELSON MS,CCC-SLP
NPI 1922794221
Speech-Language Pathologist in Arden Hills, MN
About Carol Rae Mickelson Ms,ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL RAE MICKELSON MS,CCC-SLP (NPI 1922794221) is an individual speech-language pathologist provider in Arden Hills, Minnesota, licensed in Minnesota (5372) and active in the NPI registry since April 2023.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carol Rae Mickelson Ms,ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carol Mickelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- 16 clinicians in this Medicare group
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ARDEN HILLS, MN 55112
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 Carol Mickelson's NPI number?
The NPI number for Carol Mickelson is 1922794221. It was assigned to this individual provider in the NPPES registry on April 11, 2023.
Where is Carol Mickelson located?
Carol Mickelson practices at 6 Pine Tree Dr, Arden Hills, MN 55112. The listed phone number is (651) 639-0942.
What is Carol Mickelson's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Carol Mickelson enrolled in Medicare?
Yes. Carol Mickelson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carol Mickelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Mickelson reassigns Medicare benefits to Associated Speech And Language Specialists LLC (St Paul, 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 Carol Mickelson'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 Carol Mickelson was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Carol Rae Mickelson, MS,CCC-SLP · NPI 1922794221
Speech-Language Pathologist provider in Arden Hills, Minnesota. Individual provider, active in the CMS NPPES registry since April 11, 2023.
## Identity
- **NPI:** 1922794221 (Entity type: Individual)
- **Enumerated:** April 11, 2023
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 5372 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6 PINE TREE DR, Arden Hills, MN 55112-3745
- **Phone:** (651) 639-0942
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Associated Speech And Language Specialists LLC (NPI 1881636223, St Paul, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1922794221) · Data from the CMS NPPES public registry.