STEPHANIE DESILET (MS, CCC-SLP) – Speech-Language Pathologist, NPI 1861861460

STEPHANIE DESILET (MS, CCC-SLP) is a healthcare provider. based in Atlantic beach, Florida. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MS, CCC-SLP. They hold a License No. SA13992 (FL). The NPI Number for STEPHANIE DESILET (MS, CCC-SLP) is 1861861460

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE DESILET (MS, CCC-SLP)
NPI
1861861460
Phone
(904) 635-3179
Address
1595 LINKSIDE DR
Enumeration Date
24 September 2015
Last Update Date
21 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9047045565
Graduation Year
2014 (12 years ago)
PAC ID
0648705475
Professional Enrollment ID
I20241203000861
Address ID
FL320343763FE850XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

570 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in FL

Provider Addresses for STEPHANIE DESILET (MS, CCC-SLP)

  • 1595 LINKSIDE DR

    ATLANTIC BEACH, FL 322337308

    Phone: (904) 635-3179

    Fax: (904) 372-0496

    Type: Location

  • 1463 NECTARINE ST

    FERNANDINA BEACH, FL 320343027

    Phone: (904) 491-6660

    Fax: (904) 372-0496

    Type: Mailing

  • 850 INDIGO ST

    FERNANDINA BEACH, FL 320343763

    Phone: (904) 635-3179

    Fax: (904) 372-0496

    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: 2024-12-03

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
I20241203000861IQualified 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 32233)

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Reviews

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Frequently asked questions

Where can patients find STEPHANIE DESILET (MS, CCC-SLP)'s NPI?
You can confirm STEPHANIE DESILET (MS, CCC-SLP) with NPI 1861861460; it appears in the national provider directory.
Is STEPHANIE DESILET (MS, CCC-SLP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is STEPHANIE DESILET (MS, CCC-SLP)?
The page reflects Speech-Language Pathologist for STEPHANIE DESILET (MS, CCC-SLP). Clinical services aligned with this taxonomy classification.
Does STEPHANIE DESILET (MS, CCC-SLP) practice in Florida?
You will see Atlantic Beach, Florida on file for STEPHANIE DESILET (MS, CCC-SLP) alongside any extra practice locations.
How can I contact STEPHANIE DESILET (MS, CCC-SLP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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