KATHERINE ROSE IMIG – Speech-Language Pathologist, NPI 1003489360

KATHERINE ROSE IMIG is a healthcare provider. based in Red oak, Iowa. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold a License No. 109486 (IA). The NPI Number for KATHERINE ROSE IMIG is 1003489360

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE ROSE IMIG
NPI
1003489360
Phone
(712) 623-7000
Address
2301 EASTERN AVE
Enumeration Date
22 July 2021
Last Update Date
22 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4023341919
Graduation Year
2021 (5 years ago)
PAC ID
8022467240
Group Practice PAC ID
8224378617
Professional Enrollment ID
I20231213003708
Address ID
NE681442981OM11623STXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

127 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in IA

Provider Addresses for KATHERINE ROSE IMIG

  • 2301 EASTERN AVE

    RED OAK, IA 515661305

    Phone: (712) 623-7000

    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: 2023-12-13

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
I20231213003708IQualified Speech Language PathologistNETBD

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 51566)

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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: 8224378617View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIA
Qualified Speech Language PathologistNE
Qualified Speech Language PathologistNE
Occupational Therapist In Private PracticeIA
Physical Therapist In Private PracticeKS
Occupational Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Occupational Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

How is KATHERINE ROSE IMIG identified in CMS data?
CMS-hosted NPPES data lists KATHERINE ROSE IMIG with NPI 1003489360.
Is KATHERINE ROSE IMIG listed as active for patients and plans?
The listing shows KATHERINE ROSE IMIG as active in the NPI system.
What is KATHERINE ROSE IMIG's specialty?
The listing groups KATHERINE ROSE IMIG with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where should I expect KATHERINE ROSE IMIG on a map?
Expect Red Oak, Iowa as a primary anchor for KATHERINE ROSE IMIG unless the record lists multiple sites.
Is the information about KATHERINE ROSE IMIG up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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