CORNISA MARIE ABEYTA-GAXIOLA – Speech-Language Pathologist, NPI 1669882353

CORNISA MARIE ABEYTA-GAXIOLA is a healthcare provider. based in Rigby, Idaho. specializing in Speech-Language Pathologist. They hold a License No. SLP 2098 (ID). The NPI Number for CORNISA MARIE ABEYTA-GAXIOLA is 1669882353

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
CORNISA MARIE ABEYTA-GAXIOLA
NPI
1669882353
Phone
(208) 252-4074
Address
3749 E 190 N
Enumeration Date
2 May 2014
Last Update Date
14 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083599570
Graduation Year
2000 (26 years ago)
PAC ID
7214219245
Group Practice PAC ID
7113201831
Professional Enrollment ID
I20170126001120
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for CORNISA MARIE ABEYTA-GAXIOLA

  • 3749 E 190 N

    RIGBY, ID 834425623

    Phone: (208) 252-4074

    Mailing address matches the actual address.

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: 2024-03-16

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
I20240316000088IQualified Speech Language PathologistTXTBD

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 83442)

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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: 7113201831View full group profile
NameSpecialtyState
-ID
-ID
Physical Therapist In Private PracticeNV
-ID
Occupational Therapist In Private PracticeID
-ID
-ID
-ID
Qualified Speech Language PathologistID
Qualified Speech Language PathologistID

Reviews

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Frequently asked questions

What number should I use to identify CORNISA MARIE ABEYTA-GAXIOLA for billing?
Administrative and clinical systems typically use NPI 1669882353 for CORNISA MARIE ABEYTA-GAXIOLA.
Is CORNISA MARIE ABEYTA-GAXIOLA currently accepting referrals based on NPI status?
Registry metadata lists CORNISA MARIE ABEYTA-GAXIOLA as active.
What does the directory say CORNISA MARIE ABEYTA-GAXIOLA does?
Insurance directories may phrase it differently, but here CORNISA MARIE ABEYTA-GAXIOLA maps to Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Which community is linked to CORNISA MARIE ABEYTA-GAXIOLA?
CORNISA MARIE ABEYTA-GAXIOLA shows a connection to Rigby, Idaho in registry-derived data.
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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