MRS. RACHELLE LYN FERGUSON (M.A., CCC-SLP) – Speech-Language Pathologist, NPI 1003023953

MRS. RACHELLE LYN FERGUSON (M.A., CCC-SLP) is a healthcare provider. based in Avon, Indiana. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.A., CCC-SLP. They hold a License No. 46001588A (IN). The NPI Number for MRS. RACHELLE LYN FERGUSON (M.A., CCC-SLP) is 1003023953

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. RACHELLE LYN FERGUSON (M.A., CCC-SLP)
NPI
1003023953
Phone
(317) 203-6278
Address
8607 ROBIN RUN WAY
Enumeration Date
17 May 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
2005 (21 years ago)
PAC ID
8628594900
Group Practice PAC ID
9436303559
Professional Enrollment ID
I20250429003600
Address ID
IN46033XXXXCAXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

205 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in IN

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Provider Addresses for MRS. RACHELLE LYN FERGUSON (M.A., CCC-SLP)

  • 8607 ROBIN RUN WAY

    AVON, IN 461231218

    Phone: (317) 203-6278

    Type: Mailing

  • 8616, West 10th Street, Indianapolis, Indiana, 46234, United States

    INDIANAPOLIS, IN 462342167

    Phone: (317) 209-2332

    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: 2025-04-29

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
I20250429003600IQualified Speech Language PathologistINTBD

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 46123)

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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: 9436303559View full group profile
NameSpecialtyState
Qualified Speech Language PathologistIN
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeIN
-IN
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIN
Occupational Therapist In Private PracticeIN
Occupational Therapist In Private PracticeIN
Qualified Speech Language PathologistIN
Occupational Therapist In Private PracticeIN

Reviews

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Frequently asked questions

How is MRS. RACHELLE LYN FERGUSON (M.A., CCC-SLP) identified in CMS data?
CMS-hosted NPPES data lists MRS. RACHELLE LYN FERGUSON (M.A., CCC-SLP) with NPI 1003023953.
Can I rely on MRS. RACHELLE LYN FERGUSON (M.A., CCC-SLP) being an active provider?
As of the registry snapshot, MRS. RACHELLE LYN FERGUSON (M.A., CCC-SLP) is marked active.
What is MRS. RACHELLE LYN FERGUSON (M.A., CCC-SLP)'s specialty?
The listing groups MRS. RACHELLE LYN FERGUSON (M.A., CCC-SLP) with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. RACHELLE LYN FERGUSON (M.A., CCC-SLP)?
MRS. RACHELLE LYN FERGUSON (M.A., CCC-SLP)'s geographic hint is Avon, Indiana in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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