KATHERINE BRECKENRIDGE (SLP) – Speech-Language Pathologist, NPI 1063961480
Speech-Language Pathologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
332 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in MI
Provider Addresses for KATHERINE BRECKENRIDGE (SLP)
4100 JOHN R ST
DETROIT, MI 482012013
Phone: (800) 527-6266
Type: Mailing
2585 LAFRANIER RD
TRAVERSE CITY, MI 496868972
Phone:
Type: Mailing
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.
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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: 2021-08-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210812000703 | I | Qualified Speech Language Pathologist | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| L8509 | Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type | 29 | 20 | $0 |
Insurance plans in this area (ZIP 48201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Physician Assistant | MI | |
| Hematology/Oncology, Internal Medicine | MI | |
| H E M A T O L O G Y/ O N C O L O G Y | AL | |
| Internal Medicine, Hematology/Oncology | MI | |
| Medical Oncology, Internal Medicine | MI | |
| Internal Medicine, Hematology | NY | |
| Thoracic Surgery, General Surgery | MI | |
| Diagnostic Radiology, Nuclear Medicine | MI | |
| O T O L A R Y N G O L O G Y | MI |
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