Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andrea Rose Wilson, CCC-SLP/AUD

Individual provider Audiologist · NPI 1174183594

Dr. Andrea Rose Wilson, CCC-SLP/AUD is a Qualified Speech Language Pathologist in Fosston, Minnesota. Graduated from University of Minnesota Medical School in 2019, 7 years ago. Practices with Pine Peak Therapy LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2019
Specialties on file
2

Practice location Address checks out

903 Hilligoss Blvd SE
Fosston, MN 56542-1541
Phone: (219) 435-1210
Fax: (218) 435-1175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 529087 (MN)
Audiologist Taxonomy 231H00000X · Licence 529087 (MN)

Record details

NPI number1174183594
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP/AUD
Sole proprietorNo
NPI enumeratedJune 18, 2019
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Pine Peak Therapy Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount