EKATERINA KOLPAKOVA – Speech-Language Pathologist, NPI 1376293696

EKATERINA KOLPAKOVA is a healthcare provider. based in Swampscott, Massachusetts. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold a License No. SP3319 (ME). The NPI Number for EKATERINA KOLPAKOVA is 1376293696

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
EKATERINA KOLPAKOVA
NPI
1376293696
Phone
Not provided
Address
18 PINE HILL RD
Enumeration Date
28 March 2022
Last Update Date
23 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8777578353
Graduation Year
2008 (18 years ago)
PAC ID
7315439254
Group Practice PAC ID
5395163174
Professional Enrollment ID
I20251126002911
Address ID
CA926181350IR530XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

141 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in MA

Provider Addresses for EKATERINA KOLPAKOVA

  • 18 PINE HILL RD

    SWAMPSCOTT, MA 019072210

    Phone:

    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: 2025-11-26

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
I20251126002911IQualified Speech Language PathologistCATBD

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 01907)

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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: 5395163174View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Qualified Speech Language PathologistOK
Qualified Speech Language PathologistFL
Occupational Therapist In Private PracticeTX
Qualified Speech Language PathologistAZ
Qualified Speech Language PathologistMS
Qualified Speech Language PathologistCA
Qualified Speech Language PathologistTX
Qualified Speech Language PathologistTX
Occupational Therapist In Private PracticeMD

Reviews

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Frequently asked questions

Can I cross-check EKATERINA KOLPAKOVA using NPI 1376293696?
NPI 1376293696 belongs to EKATERINA KOLPAKOVA; compare other details if you need extra assurance.
Active or inactive — what applies to EKATERINA KOLPAKOVA?
You should see EKATERINA KOLPAKOVA as active in CMS-hosted NPPES data.
How would a patient describe EKATERINA KOLPAKOVA's focus?
For EKATERINA KOLPAKOVA, the primary taxonomy reads as Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What locale is associated with EKATERINA KOLPAKOVA?
Directory geography for EKATERINA KOLPAKOVA centers on Swampscott, Massachusetts.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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