KIM SCHULENBURG (CCC-SLP) – Speech-Language Pathologist, NPI 1003297722

KIM SCHULENBURG (CCC-SLP) is a healthcare provider. based in Smyrna, Delaware. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials CCC-SLP. They hold a License No. 01-0000924 (DE). The NPI Number for KIM SCHULENBURG (CCC-SLP) is 1003297722

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
KIM SCHULENBURG (CCC-SLP)
NPI
1003297722
Phone
Not provided
Address
307 INDIA DR
Enumeration Date
18 June 2015
Last Update Date
18 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3023871407
Graduation Year
2001 (25 years ago)
PAC ID
0345770723
Group Practice PAC ID
0345644357
Professional Enrollment ID
I20250214001027
Address ID
DE199048727DO1221XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

35 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in DE

Provider Addresses for KIM SCHULENBURG (CCC-SLP)

  • 307 INDIA DR

    SMYRNA, DE 199774825

    Phone:

    Type: Mailing

  • 100 SUNNYSIDE RD

    SMYRNA, DE 199771752

    Phone: (302) 223-1284

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250214001027IQualified Speech Language PathologistDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19977)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345644357View full group profile
NameSpecialtyState
Clinical Social WorkerNY
Mental Health CounselorOK
Occupational Therapist In Private PracticeDE
Occupational Therapist In Private PracticePA
Nurse PractitionerDE
Nurse PractitionerDE
Clinical PsychologistCA
C H I R O P R A C T I CDE
Nurse PractitionerDE
Occupational Therapist In Private PracticeDE

Reviews

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Frequently asked questions

How do payers reference KIM SCHULENBURG (CCC-SLP)?
For KIM SCHULENBURG (CCC-SLP), use NPI 1003297722 as the unique 10-digit identifier.
Is there an active status for KIM SCHULENBURG (CCC-SLP)?
For scheduling context, KIM SCHULENBURG (CCC-SLP) is shown as active in the registry.
What kind of doctor is KIM SCHULENBURG (CCC-SLP)?
KIM SCHULENBURG (CCC-SLP) is associated with Speech-Language Pathologist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KIM SCHULENBURG (CCC-SLP)?
Travel planning: use Smyrna, Delaware as the reference point for KIM SCHULENBURG (CCC-SLP), then confirm.
When was this NPI issued?
Enumeration for KIM SCHULENBURG (CCC-SLP) is noted as June 18, 2015 where the registry provides it.

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