HEATHER M CLARK (PHD, CCC-SLP) – Speech-Language Pathologist, NPI 1730193269

HEATHER M CLARK (PHD, CCC-SLP) is a healthcare provider. based in Rochester, Minnesota. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials PHD, CCC-SLP. They hold a License No. 8601 (MN). The NPI Number for HEATHER M CLARK (PHD, CCC-SLP) is 1730193269

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER M CLARK (PHD, CCC-SLP)
NPI
1730193269
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
28 July 2006
Last Update Date
27 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072842511
Graduation Year
1996 (30 years ago)
PAC ID
8921150756
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20101124000996
Address ID
MN559050001RO200XXSWXX400

Contacts

Secure Messaging
hclark66245@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

239 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in MN

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Provider Addresses for HEATHER M CLARK (PHD, CCC-SLP)

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Mailing address matches the actual address.

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: 2010-11-24

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
I20101124000996IQualified 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92522Evaluation of speech sound production4545$0
92523Evaluation of speech sound production with evaluation of language comprehension and expression1515$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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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: 6507778255View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for HEATHER M CLARK (PHD, CCC-SLP)?
HEATHER M CLARK (PHD, CCC-SLP) — NPI 1730193269 — is the standard way to identify this listing.
Can I rely on HEATHER M CLARK (PHD, CCC-SLP) being an active provider?
As of the registry snapshot, HEATHER M CLARK (PHD, CCC-SLP) is marked active.
What taxonomy line describes HEATHER M CLARK (PHD, CCC-SLP)?
For research purposes, treat HEATHER M CLARK (PHD, CCC-SLP) as Speech-Language Pathologist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for HEATHER M CLARK (PHD, CCC-SLP)?
HEATHER M CLARK (PHD, CCC-SLP)'s geographic hint is Rochester, Minnesota in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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