Individual provider Active NPI

Michelle Rae Spicer, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Grand Forks, ND
National Provider Identifier
1699063875
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1166 Issued in ND
Practice address
501 N Columbia Rd Stop 7132
Grand Forks, ND 58203-2817
Phone
(701) 777-3691
Fax
(701) 777-3845
NPI assigned
Jul 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1166 ND Primary

Addresses

Primary practice location

501 N Columbia Rd Stop 7132
Grand Forks, ND 58203-2817

Mailing address

501 N Columbia Rd Stop 7132
Grand Forks, ND 58203-2817
Phone (701) 777-3745

Other practice location 1

293 Centennial Dr Stop 7132
Grand Forks, ND 58202-6066
Phone (701) 777-3745

Other names 1

  • Michelle Rae Nelson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000907 ND Practitioner - Qualified Speech Language Pathologist 3577732429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North DakotaGroup PAC ID 2961395934, 29 clinicians

Practice addresses (Care Compare)

293 Centennial Dr
Stop 7132
Grand Forks, ND 58202-6066
Phone (701) 777-3691

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
65.82
Promoting interoperability
100
Improvement activities
40
Cost
82.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Dakota Current Accepting new patients
University of North Dakota Speech-Language Pathologist CurrentSince Jul 28, 2022 Accepting new patients
Clinic Pharmacy Inc Past Accepting new patients

Locations

293 Centennial Dr
Stop 7132
Grand Forks, ND 58202
Phone (701) 777-3745

501 N Columbia Rd
Grand Forks, ND 58203
Phone (701) 777-3067

501 N Columbia Rd
Stop 7132
Grand Forks, ND 58203
Phone (701) 777-3691

Organizations & group practices 3

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1699063875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N COLUMBIA RD STOP 7132",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032817",
            "telephone_number": "701-777-3745",
            "fax_number": "701-777-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N COLUMBIA RD STOP 7132",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582032817",
            "telephone_number": "701-777-3691",
            "fax_number": "701-777-3845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "293 Centennial Dr Stop 7132",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582026066",
            "country_code": "US",
            "telephone_number": "701-777-3745",
            "fax_number": "701-777-3845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPICER",
        "first_name": "MICHELLE",
        "middle_name": "RAE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "NELSON",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.