Mackenzie Marie Pelke, CCC-SLP
NPI 1902476435ActiveIndividual· Speech-Language Pathologist· North St Paul, MN
Speech-Language Pathologist (CCC-SLP) in North St Paul, Minnesota, licensed in MN, with an NPI issued in June 2021.
Overview
| NPI | 1902476435 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CCC-SLP |
| Sole proprietor | No |
| NPI issued | Jun 28, 2021 |
| Last updated in NPPES | Apr 17, 2026 |
| Certified by provider | Apr 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 1024870 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Speech-Language Pathologist providers in North St Paul
- 1932032646
- 1326982554
- 1427994060
- 1841123551
- 1588995641
- 1902741044
- 1427626365
- 1811824964
- 1386710556
- 1306784210
- 1689849374
- 1417066630