ANNE MARIE DVORSKY — NPI 1205763430 (Licensed & Credentialed Speech, Language and Hearing Service Providers in FOREST LAKE, MN)

CMS-1500 Box 24J / 33a • NPI

1205763430

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

235Z00000X (CMS 15)

Licensed & Credentialed Speech, Language and Hearing Service Providers

Box 32 Service Location & ZIP+4

246 11TH AVE SE, FOREST LAKE, MN, 55025-1823

✓ 9-Digit EDI 837 ZIP+4 (55025-1823)

Practice Phone & Referral Fax

(651) 252-6717

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1205763430 (ANNE MARIE DVORSKY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1205763430` (NPI-1 Individual Practitioner)
Provider / Legal Name	ANNE MARIE DVORSKY
Plain-English Specialty	Licensed & Credentialed Speech, Language and Hearing Service Providers NUCC Code: `235Z00000X` (Speech-Language Pathologist, )
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	246 11TH AVE SE, FOREST LAKE, MN, 55025-1823
Practice Telephone / Fax	Tel: (651) 252-6717
Administrative Mailing Address	349 HERITAGE TRL, CIRCLE PINES, MN, 55014-5009
Enumeration & Last Sync	Enumerated: 2026-05-04 \| CMS Record Updated: 2026-05-04

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

246 11TH AVE SE, FOREST LAKE, MN, 55025-1823

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Plain-English Taxonomy & CMS Crosswalk (235Z00000X)

What Does Taxonomy Code 235Z00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 235Z00000X translates to:
"Licensed & Credentialed Speech, Language and Hearing Service Providers"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 15 (Speech Language Pathologist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Speech-Language Pathologist, for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANNE MARIE DVORSKY)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`235Z00000X` — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers	State: MN \| License: `507570` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANNE MARIE DVORSKY (NPI #1205763430)