Active NPI
Marijana Ekvall
- Speech-Language Pathologist
- Stillwater, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6555
- Practice address
- 927 Churchill St W
Stillwater, MN 55082-6605 - Phone
- (651) 439-5330
- NPI assigned
- May 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6555 | WI | Primary |
Addresses
Primary practice location
927 Churchill St W
Stillwater, MN 55082-6605
Mailing address
202 Hamilton Dr
River Falls, WI 54022-3104
Phone (608) 807-8384
Other practice location 1
265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000
Other practice location 2
411 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Phone (952) 831-8742
403 Stageline Rd
Hudson, WI 54016-7848
Phone (952) 831-8742
405 Stageline Rd
Hudson, WI 54016-7848
Phone (952) 831-8742
411 Stageline Rd
Hudson, WI 54016-7848
Phone (952) 831-8742
8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6555 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tria Orthopaedic Center LLC | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Group Health, Inc. | Past | Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529
1500 Curve Crest Blvd W
Stillwater, MN 55082
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000
411 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1487402046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 HAMILTON DR",
"city": "RIVER FALLS",
"state": "WI",
"postal_code": "540223104",
"telephone_number": "608-807-8384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 CHURCHILL ST W",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826605",
"telephone_number": "651-439-5330"
}
],
"practiceLocations": [
{
"address_1": "265 Griffin St E",
"address_purpose": "LOCATION",
"city": "Amery",
"state": "WI",
"postal_code": "540011439",
"country_code": "US",
"telephone_number": "715-268-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "411 Stageline Rd",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "WI",
"postal_code": "540167848",
"country_code": "US",
"telephone_number": "715-531-6700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EKVALL",
"first_name": "MARIJANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "6555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.