AMANDA M WILSON (SLP) – Speech-Language Pathologist, NPI 1093364739

AMANDA M WILSON (SLP) is a healthcare provider. based in Topeka, Kansas. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SLP. They hold a License No. 4774 (KS). The NPI Number for AMANDA M WILSON (SLP) is 1093364739

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA M WILSON (SLP)
NPI
1093364739
Phone
(785) 354-6761
Address
1504 SW 8th Ave
Enumeration Date
5 September 2019
Last Update Date
5 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5313555000
Graduation Year
2019 (7 years ago)
PAC ID
1557691110
Group Practice PAC ID
9638165400
Professional Enrollment ID
I20241017000766
Address ID
NE681312100OM425XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

155 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in KS

Provider Addresses for AMANDA M WILSON (SLP)

  • 1504 SW 8th Ave

    Topeka, KS 666061632

    Phone: (785) 354-6761

    Type: Location

  • Stormont Vail Health, 1500, Southwest 10th Avenue, Topeka, Shawnee County, Kansas, 66604, United States

    MEDICAL STAFF SERVICES

    TOPEKA, KS 666041301

    Phone: (785) 354-6241

    Fax: (785) 270-4343

    Type: Mailing

  • 2660 SW 3RD ST

    TOPEKA, KS 666062442

    Phone: (785) 354-6116

    Type: Mailing

  • 2660, Southwest 3rd Street, Topeka, Shawnee County, Kansas, 66606, United States

    TOPEKA, KS 666062442

    Phone: (785) 354-6116

    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: 2024-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190924002724IQualified Speech Language PathologistKSTBD
I20241017000766IQualified 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92507Treatment of speech, language, voice, communication, and/or hearing processing disorder19423$0
View full utilization report →

Insurance plans in this area (ZIP 66606)

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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: 9638165400View full group profile
NameSpecialtyState
Pediatric MedicineNE
-NE
-NE
Qualified AudiologistNE
-CA
Physical Therapist In Private PracticeNE
Qualified AudiologistNE
P S Y C H I A T R YNE
Qualified AudiologistNE
O T O L A R Y N G O L O G YNE

Reviews

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Frequently asked questions

What is the registry number for AMANDA M WILSON (SLP)?
The registry entry for AMANDA M WILSON (SLP) shows NPI 1093364739.
Quick check: is AMANDA M WILSON (SLP) active?
Public NPPES data shows AMANDA M WILSON (SLP) with an active NPI status right now.
What type of care does AMANDA M WILSON (SLP) provide?
AMANDA M WILSON (SLP)'s profile centers on Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Which community is linked to AMANDA M WILSON (SLP)?
AMANDA M WILSON (SLP) shows a connection to Topeka, Kansas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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