Doctor profile · Federal record

Dr. Lisa Beckstrom, MA, CCC-SLP

Speech-Language Pathologist (CMS: Qualified Speech Language Pathologist) · St Louis Park, MN

  • NPI 1417019035
  • Accepts Medicare
  • 35 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
6500 Excelsior Blvd, Rehab Services - Speech Pathology
St Louis Park, MN 554264702
(952) 993-5498
fax (952) 993-5585
Mailing address
5641 Adair Ave N
Crystal, MN 554292706

Credentials & registration

NPPES · NUCC
NPI registered
December 2006 — 20 yrs on file
Profile last updated
July 8, 2007
Year of graduation
1991 — 35 yrs since
Specialty taxonomy
235Z00000X — NUCC code
State license (1)
Minnesota #5642

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1417019035. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
16
Distinct HCPCS
1
Medicare allowed
$1,441
HCPCS Description Services Patients Avg allowed
92611 Evaluation of swallowing function image 16 16 $90

In context: peer comparison

Among 6 peers in St Louis Park Speech-Language Pathologist, average services per provider: 47. This provider delivers 0.3× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Lisa Beckstrom's medical specialty?
Dr. Lisa Beckstrom practices Speech-Language Pathologist in St Louis Park, MN.
Where does Dr. Lisa Beckstrom practice?
Dr. Lisa Beckstrom practices at 6500 Excelsior Blvd, St Louis Park, MN 554264702. Office phone: 9529935498.
What is Dr. Lisa Beckstrom's NPI?
Dr. Lisa Beckstrom's National Provider Identifier (NPI) is 1417019035, issued by NPPES.
Does Dr. Lisa Beckstrom accept Medicare assignment?
Yes. Dr. Lisa Beckstrom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Lisa Beckstrom commonly perform?
Top Medicare-reported procedures in 2023: Evaluation of swallowing function image (HCPCS 92611). Source: CMS Medicare Physician & Other Practitioners file.