MICHELLE ARLYNN DEREMER (MA, CCC-SLP) – Speech-Language Pathologist, NPI 1326697756

MICHELLE ARLYNN DEREMER (MA, CCC-SLP) is a healthcare provider. based in Minneapolis, Minnesota. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MA, CCC-SLP. They hold a License No. 10341 (MN). The NPI Number for MICHELLE ARLYNN DEREMER (MA, CCC-SLP) is 1326697756

Main info

Female
21 Years Of Experience
Name
MICHELLE ARLYNN DEREMER (MA, CCC-SLP)
NPI
1326697756
Phone
(612) 512-6795
Address
5543 BLAISDELL AVE
Enumeration Date
9 September 2019
Last Update Date
9 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7637554275
Graduation Year
2005 (21 years ago)
PAC ID
5395177919
Group Practice PAC ID
8022335397
Professional Enrollment ID
I20191119002365
Address ID
MN553043341AN1891XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

239 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in MN

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Provider Addresses for MICHELLE ARLYNN DEREMER (MA, CCC-SLP)

  • Blaisdell Av, West Franklin Avenue, Whittier, Minneapolis, Hennepin County, Minnesota, 55405, United States

    MINNEAPOLIS, MN 554191918

    Phone: (612) 512-6795

    Type: Mailing

  • 5868, Baker Road, Minnetonka, Hennepin County, Minnesota, 55345, United States

    MINNETONKA, MN 553455903

    Phone: (952) 767-4200

    Fax: (952) 767-4211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191119002365IQualified Speech Language PathologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55419)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022335397View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN

Reviews

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Frequently asked questions

Is there an official ID for MICHELLE ARLYNN DEREMER (MA, CCC-SLP) in U.S. healthcare records?
The official identifier for MICHELLE ARLYNN DEREMER (MA, CCC-SLP) is NPI 1326697756.
Would MICHELLE ARLYNN DEREMER (MA, CCC-SLP) appear as active to a payer?
You can treat MICHELLE ARLYNN DEREMER (MA, CCC-SLP) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MICHELLE ARLYNN DEREMER (MA, CCC-SLP)?
MICHELLE ARLYNN DEREMER (MA, CCC-SLP)'s record emphasizes Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What locale is associated with MICHELLE ARLYNN DEREMER (MA, CCC-SLP)?
Directory geography for MICHELLE ARLYNN DEREMER (MA, CCC-SLP) centers on Minneapolis, Minnesota.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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