MRS. CHRISTINE MARIE FLETCHER (M.S., CCC-SLP) – Speech-Language Pathologist, NPI 1053439208

MRS. CHRISTINE MARIE FLETCHER (M.S., CCC-SLP) is a healthcare provider. based in Peoria, Illinois. specializing in Speech-Language Pathologist. They hold the professional credentials M.S., CCC-SLP. They hold a License No. 146-005926 (IL). The NPI Number for MRS. CHRISTINE MARIE FLETCHER (M.S., CCC-SLP) is 1053439208

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CHRISTINE MARIE FLETCHER (M.S., CCC-SLP)
NPI
1053439208
Phone
(309) 689-9920
Address
2001 W WILLOW KNOLLS DR STE 106
Enumeration Date
27 March 2007
Last Update Date
20 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096899920
Graduation Year
1998 (28 years ago)
PAC ID
6901075704
Group Practice PAC ID
2264562693
Professional Enrollment ID
I20110812000158
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MRS. CHRISTINE MARIE FLETCHER (M.S., CCC-SLP)

  • 2001 W WILLOW KNOLLS DR STE 106

    PEORIA, IL 616141262

    Phone: (309) 689-9920

    Fax: (309) 689-9923

    Type: Location

  • 900 HICKORY CREEK CT

    GERMANTOWN HILLS, IL 615489089

    Phone: (309) 453-4715

    Type: Mailing

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: 2011-08-12

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
I20110812000158IQualified Speech Language PathologistILTBD

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

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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 61614)

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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: 2264562693View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MRS. CHRISTINE MARIE FLETCHER (M.S., CCC-SLP) in U.S. healthcare records?
The official identifier for MRS. CHRISTINE MARIE FLETCHER (M.S., CCC-SLP) is NPI 1053439208.
Is MRS. CHRISTINE MARIE FLETCHER (M.S., CCC-SLP) still an active registrant?
MRS. CHRISTINE MARIE FLETCHER (M.S., CCC-SLP) carries an active NPI according to the public dataset.
How would a patient describe MRS. CHRISTINE MARIE FLETCHER (M.S., CCC-SLP)'s focus?
For MRS. CHRISTINE MARIE FLETCHER (M.S., CCC-SLP), the primary taxonomy reads as Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. CHRISTINE MARIE FLETCHER (M.S., CCC-SLP)?
Directory geography for MRS. CHRISTINE MARIE FLETCHER (M.S., CCC-SLP) centers on Peoria, Illinois.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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