KATINA VICE FRIESEN (CCC-SLP) – Speech-Language Pathologist, NPI 1548532005

KATINA VICE FRIESEN (CCC-SLP) is a healthcare provider. based in Wichita, Kansas. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials CCC-SLP. They hold a License No. 3006 (KS). The NPI Number for KATINA VICE FRIESEN (CCC-SLP) is 1548532005

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KATINA VICE FRIESEN (CCC-SLP)
NPI
1548532005
Phone
(316) 260-4981
Address
502 S NINEIRON ST
Enumeration Date
31 January 2012
Last Update Date
31 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2565094398
Graduation Year
2008 (18 years ago)
PAC ID
6204293608
Group Practice PAC ID
5991865172
Professional Enrollment ID
I20230530002726
Address ID
AL358015435HU802XXSWXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

155 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in KS

Provider Addresses for KATINA VICE FRIESEN (CCC-SLP)

  • 502 S NINEIRON ST

    WICHITA, KS 672353410

    Phone: (316) 260-4981

    Type: Mailing

  • 854 N SOCORA ST

    WICHITA, KS 672123288

    Phone: (316) 729-6236

    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: 2023-05-30

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
I20230530002726IQualified Speech Language PathologistALTBD

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 disorder9716$0
View full utilization report →

Insurance plans in this area (ZIP 67235)

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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: 5991865172View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Occupational Therapist In Private PracticeAL
-AL
Qualified Speech Language PathologistAL
Qualified Speech Language PathologistAL
Occupational Therapist In Private PracticeAL
Occupational Therapist In Private PracticeAL
-AL
Physical Therapist In Private PracticeAL
-AL

Reviews

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Frequently asked questions

What is the registry number for KATINA VICE FRIESEN (CCC-SLP)?
The registry entry for KATINA VICE FRIESEN (CCC-SLP) shows NPI 1548532005.
Should I treat KATINA VICE FRIESEN (CCC-SLP) as an active provider?
Patients and plans typically see KATINA VICE FRIESEN (CCC-SLP) as active in the national extract.
What type of care does KATINA VICE FRIESEN (CCC-SLP) provide?
KATINA VICE FRIESEN (CCC-SLP)'s profile centers on Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Can patients visit KATINA VICE FRIESEN (CCC-SLP) in Wichita, Kansas?
For routing, start with Wichita, Kansas for KATINA VICE FRIESEN (CCC-SLP), then verify phone and hours locally.
Can I export KATINA VICE FRIESEN (CCC-SLP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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