Kaela Feddersen, M.S.
NPI 1700418241ActiveIndividual· Speech-Language Pathologist· Waconia, MN
Speech-Language Pathologist (M.S.) in Waconia, Minnesota, licensed in MN, with an NPI issued in February 2020. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1700418241 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S. |
| Sole proprietor | No |
| NPI issued | Feb 12, 2020 |
| Last updated in NPPES | Jul 2, 2024 |
| Certified by provider | Jul 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | CO |
| Speech-Language Pathologist | 235Z00000X | 528939 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (MN) |
|---|
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