Active NPI
Abigail Erickson, MS CCC SLP
- Speech-Language Pathologist
- Grand Meadow, MN
National Provider Identifier
1497597488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 528636
- Practice address
- 210 Grand Ave E
Grand Meadow, MN 55936-2600 - Phone
- (507) 754-5212
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 528636 | MN | Primary |
Addresses
Primary practice location
210 Grand Ave E
Grand Meadow, MN 55936-2600
Mailing address
210 Grand Ave E
Grand Meadow, MN 55936-2600
Other practice location 1
1864 First Minnesota
Preston, MN 55965-2823
Phone (507) 808-8910
Other names 1
- Abigail Wieser
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240926002324 | MN | Practitioner - Qualified Speech Language Pathologist | 6406397785 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Urbandale, IA
- NPI 1932797297
MN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1497597488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 GRAND AVE E",
"city": "GRAND MEADOW",
"state": "MN",
"postal_code": "559362600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 GRAND AVE E",
"city": "GRAND MEADOW",
"state": "MN",
"postal_code": "559362600",
"telephone_number": "507-754-5212"
}
],
"practiceLocations": [
{
"address_1": "1864 First Minnesota",
"address_purpose": "LOCATION",
"city": "Preston",
"state": "MN",
"postal_code": "559652823",
"country_code": "US",
"telephone_number": "507-808-8910",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERICKSON",
"first_name": "ABIGAIL",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "528636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "WIESER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Meadow, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.