KELLY LYNN DEJONG (MA,CF-SLP) – Speech-Language Pathologist, NPI 1164308987

KELLY LYNN DEJONG (MA,CF-SLP) is a healthcare provider. based in Parkersburg, Iowa. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MA,CF-SLP. They hold a License No. 129834 (IA). The NPI Number for KELLY LYNN DEJONG (MA,CF-SLP) is 1164308987

Main info

Female
2 Years Of Experience
Name
KELLY LYNN DEJONG (MA,CF-SLP)
NPI
1164308987
Phone
(319) 346-9783
Address
1306 HIGHWAY 57 STE B
Enumeration Date
15 August 2025
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
3476035288
Professional Enrollment ID
I20260302002482
Address ID
IA506651075PA1306X57XX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

127 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in IA

Provider Addresses for KELLY LYNN DEJONG (MA,CF-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: 2026-03-02

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
I20260302002482IQualified 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

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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 50665)

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Reviews

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Frequently asked questions

What is KELLY LYNN DEJONG (MA,CF-SLP)'s NPI number?
KELLY LYNN DEJONG (MA,CF-SLP)'s NPI is 1164308987 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to KELLY LYNN DEJONG (MA,CF-SLP)?
You should see KELLY LYNN DEJONG (MA,CF-SLP) as active in CMS-hosted NPPES data.
How would a patient describe KELLY LYNN DEJONG (MA,CF-SLP)'s focus?
For KELLY LYNN DEJONG (MA,CF-SLP), the primary taxonomy reads as Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What locale is associated with KELLY LYNN DEJONG (MA,CF-SLP)?
Directory geography for KELLY LYNN DEJONG (MA,CF-SLP) centers on Parkersburg, Iowa.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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