MRS. SHAE LYNNE TEGROTENHUIS (M.A. CCC-SLP) – Speech-Language Pathologist, NPI 1023700044

MRS. SHAE LYNNE TEGROTENHUIS (M.A. CCC-SLP) is a healthcare provider. based in Parkersburg, Iowa. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.A. CCC-SLP. They hold a License No. 112164 (IA). The NPI Number for MRS. SHAE LYNNE TEGROTENHUIS (M.A. CCC-SLP) is 1023700044

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHAE LYNNE TEGROTENHUIS (M.A. CCC-SLP)
NPI
1023700044
Phone
(319) 346-9783
Address
1306 HIGHWAY 57 STE B
Enumeration Date
26 May 2023
Last Update Date
26 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
1759741465
Group Practice PAC ID
1951405174
Professional Enrollment ID
I20230713000463
Address ID
IA506651049PA1306XBXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

127 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in IA

Provider Addresses for MRS. SHAE LYNNE TEGROTENHUIS (M.A. CCC-SLP)

  • 1306 HIGHWAY 57 STE B

    PARKERSBURG, IA 506651075

    Phone: (319) 346-9783

    Fax: (319) 346-9785

    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: 2023-07-13

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
I20230713000463IQualified Speech Language PathologistIATBD

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 50665)

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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: 1951405174View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
-IA
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIA
-IA
-IA

Reviews

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Frequently asked questions

Can I cross-check MRS. SHAE LYNNE TEGROTENHUIS (M.A. CCC-SLP) using NPI 1023700044?
NPI 1023700044 belongs to MRS. SHAE LYNNE TEGROTENHUIS (M.A. CCC-SLP); compare other details if you need extra assurance.
Is MRS. SHAE LYNNE TEGROTENHUIS (M.A. CCC-SLP) still an active registrant?
MRS. SHAE LYNNE TEGROTENHUIS (M.A. CCC-SLP) carries an active NPI according to the public dataset.
What clinical focus is listed for MRS. SHAE LYNNE TEGROTENHUIS (M.A. CCC-SLP)?
At a glance, MRS. SHAE LYNNE TEGROTENHUIS (M.A. CCC-SLP) is tied to Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where in Iowa is MRS. SHAE LYNNE TEGROTENHUIS (M.A. CCC-SLP) registered?
Use Parkersburg, Iowa as the headline location for MRS. SHAE LYNNE TEGROTENHUIS (M.A. CCC-SLP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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