LYNSEY HEINOLD-EDGE (M.A., CCC-SLP) – Speech-Language Pathologist, NPI 1558499087

LYNSEY HEINOLD-EDGE (M.A., CCC-SLP) is a healthcare provider. based in Port saint lucie, Florida. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.A., CCC-SLP. They hold a License No. SA 8867 (FL). The NPI Number for LYNSEY HEINOLD-EDGE (M.A., CCC-SLP) is 1558499087

Main info

Female
Sole Proprietor
21 Years Of Experience
Name
LYNSEY HEINOLD-EDGE (M.A., CCC-SLP)
NPI
1558499087
Phone
(772) 878-0789
Address
762 SE ALBATROSS AVE
Enumeration Date
28 February 2007
Last Update Date
22 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
8022514900
Professional Enrollment ID
I20250930002577
Address ID
OH441315058IN6801XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

570 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in FL

Provider Addresses for LYNSEY HEINOLD-EDGE (M.A., CCC-SLP)

  • 762 SE ALBATROSS AVE

    PORT SAINT LUCIE, FL 34983

    Phone: (772) 878-0789

    Type: Mailing

  • 1501 SE CUTORRO AVE

    PORT SAINT LUCIE, FL 349525446

    Phone: (772) 678-9519

    Type: Mailing

  • 3496 NW FEDERAL HWY STE G

    JENSEN BEACH, FL 349574441

    Phone: (772) 223-5945

    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: 2025-09-30

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
I20250930002577IQualified Speech Language PathologistFLTBD

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 34983)

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Reviews

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Frequently asked questions

What is the standard ID for LYNSEY HEINOLD-EDGE (M.A., CCC-SLP) in the U.S.?
In the U.S., LYNSEY HEINOLD-EDGE (M.A., CCC-SLP) is identified by NPI 1558499087.
Is LYNSEY HEINOLD-EDGE (M.A., CCC-SLP) currently accepting referrals based on NPI status?
Registry metadata lists LYNSEY HEINOLD-EDGE (M.A., CCC-SLP) as active.
Which specialty label fits LYNSEY HEINOLD-EDGE (M.A., CCC-SLP)?
NPPES ties LYNSEY HEINOLD-EDGE (M.A., CCC-SLP) to Speech-Language Pathologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit LYNSEY HEINOLD-EDGE (M.A., CCC-SLP) in Port Saint Lucie, Florida?
For routing, start with Port Saint Lucie, Florida for LYNSEY HEINOLD-EDGE (M.A., CCC-SLP), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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