KIA DANIELLE ALTON (SLP) – Speech-Language Pathologist, NPI 1609389279
Speech-Language Pathologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KIA DANIELLE ALTON (SLP)
Essentia Health St. Marys Detroit Lakes Hospital
1027 Washington Avenue
Detroit Lakes, MN 565013409
Phone: (218) 847-5611
Type: Location
ESSENTIA HEALTH DULUTH CLINIC MCL2CRED
400 EAST THIRD STREET
DULUTH, MN 558051951
Phone: (218) 786-3146
Type: Mailing
705, Pleasant Avenue South, Park Rapids, Hubbard County, Minnesota, 56470, United States
PARK RAPIDS, MN 564701440
Phone: (218) 732-2800
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: 2017-12-19
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 |
|---|---|---|---|---|
| I20171219000030 | I | Qualified Speech Language Pathologist | MN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | ND | |
| Family Practice | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Family Practice | ND | |
| Family Practice, Emergency Medicine | MN | |
| Nurse Practitioner | WI | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | MN | |
| O P T O M E T R Y | MN |
Reviews
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