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

SALLY V MATCHETTE SLP
NPI 1962598946
Speech-Language Pathologist in Minneapolis, MN

Active since October 05, 2006Accepts Medicare Assignment
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 672-6000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sally V Matchette Slp NPPES

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

SALLY V MATCHETTE SLP (NPI 1962598946) is an individual speech-language pathologist provider in Minneapolis, Minnesota, licensed in Minnesota (7262) and active in the NPI registry since October 2006. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1962598946
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSALLY V MATCHETTECredential: SLP
Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450
Mailing Address9866 Kirkwood Ln NMaple Grove, MN 55369-6602
Phone(612) 672-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962598946 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 · 7262
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.
2450 RIVERSIDE AVE, Minneapolis, MN 55454
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sally V Matchette Slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244377075
PECOS Enrollment IDI20091027000318

Medicare Billing Reassignment

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

Aegis Group Practice LLC
7.8 mi
Physical Therapist
9000 GOLDEN VALLEY RD
Golden Valley, MN 55427
  • Reassigned Medicare billing, Minnesota enrollment
  • 75 clinicians in this Medicare group
NPI 1336903517 (479) 201-6901

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.

MICHELLE IRENE GRAY
Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. KATHLEEN F SADAK MD
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-6402
DR. ADMATHA MUTHYALA WINFRED MD
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
KELLY SCHELLER WILLIAMS
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-3216
MRS. MARY SUSAN CLIPP CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-3100
DANIEL TESFAYE KEBED MD
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MS. CHELSEA ANJELICA MIELKE PA-C
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
MRS. JESSICA LYNN MCADAM
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8383

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 Sally Matchette's NPI number?

The NPI number for Sally Matchette is 1962598946. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Sally Matchette located?

Sally Matchette practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 672-6000.

What is Sally Matchette's specialty?

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

Is Sally Matchette enrolled in Medicare?

Yes. Sally Matchette is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sally Matchette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Matchette reassigns Medicare benefits to Aegis Group Practice LLC (Golden Valley, 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 Sally Matchette'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 Sally Matchette was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.