KRISTI SHORT – Speech-Language Pathologist, NPI 1417550658

KRISTI SHORT is a healthcare provider. based in Kokomo, Indiana. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold a License No. 22002215A (IN). The NPI Number for KRISTI SHORT is 1417550658

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
KRISTI SHORT
NPI
1417550658
Phone
(765) 210-2287
Address
2925 BAGLEY DR W
Enumeration Date
19 November 2020
Last Update Date
19 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7654597275
Graduation Year
1990 (36 years ago)
PAC ID
2466865423
Group Practice PAC ID
8224370242
Professional Enrollment ID
I20210112000768
Address ID
IN469023726KO401XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

205 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in IN

Provider Addresses for KRISTI SHORT

  • 2925 BAGLEY DR W

    KOKOMO, IN 469023256

    Phone: (765) 210-2287

    Type: Mailing

  • 2312 S DIXON RD STE 250

    KOKOMO, IN 469026426

    Phone: (765) 459-7275

    Fax: (800) 805-4620

    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: 2021-01-12

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
I20210112000768IQualified 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92507Treatment of speech, language, voice, communication, and/or hearing processing disorder8712$0
92523Evaluation of speech sound production with evaluation of language comprehension and expression1616$0
View full utilization report →

Insurance plans in this area (ZIP 46902)

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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: 8224370242View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Occupational Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Occupational Therapist In Private PracticeIN
Occupational Therapist In Private PracticeIN
-IN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

What is the 10-digit NPI for KRISTI SHORT?
KRISTI SHORT — NPI 1417550658 — is the standard way to identify this listing.
Does the file indicate KRISTI SHORT is practicing under active NPI?
Directory data currently reports KRISTI SHORT as active.
What is KRISTI SHORT best known for clinically?
Directory data describes KRISTI SHORT with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What address line appears for KRISTI SHORT?
KRISTI SHORT's geographic hint is Kokomo, Indiana in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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