Individual provider Active NPI

Elizabeth Plankers, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Moorhead, MN
National Provider Identifier
1497148472
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1408 Issued in ND
Practice address
1104 7TH Ave South
Moorhead, MN 56563-0001
Phone
(218) 477-2330
NPI assigned
Mar 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1408 ND Primary
Speech-Language Pathologist 235Z00000X 2277 MN

Addresses

Primary practice location

1104 7TH Ave South
Moorhead, MN 56563-0001

Mailing address

1104 7TH Ave S
Moorhead, MN 56563-0002
Phone (218) 477-2330

Other practice location 1

1313 30th Ave S
Moorhead, MN 56560-5106
Phone (218) 284-3717

Other names 1

  • Elizabeth Wychor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210520001051 MN Practitioner - Qualified Speech Language Pathologist 1850610056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota State Colleges and UniversitiesGroup PAC ID 2264334663, 12 clinicians

Practice addresses (Care Compare)

1104 7TH Ave S
Moorhead, MN 56563-0001
Phone (218) 477-2330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
10455MNMDPhysical Therapist
2277MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota State Colleges and Universities CurrentSince Jan 19, 2021 Accepting new patients
Minnesota State Colleges & Universities Speech-Language Pathologist CurrentSince Jan 19, 2021 Accepting new patients
Beyond Boundaries Occupational Therapy, Inc. Speech-Language Pathologist PastSince Jul 1, 2009 Accepting new patients
Minnesota State Colleges and Universities Past Accepting new patients

Locations

1104 7th Ave S
Moorhead, MN 56563
Phone (218) 477-2330

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1497148472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 7TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565630002",
            "telephone_number": "218-477-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 7TH AVE SOUTH",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565630001",
            "telephone_number": "218-477-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1313 30th Ave S",
            "address_purpose": "LOCATION",
            "city": "Moorhead",
            "state": "MN",
            "postal_code": "565605106",
            "country_code": "US",
            "telephone_number": "218-284-3717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLANKERS",
        "first_name": "ELIZABETH",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-14",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1408",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "2277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WYCHOR",
            "credential": "M.S., CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.

Verify at the official NPI Registry.