KELLI R. MAEDER (MS, CCC-SLP) – Speech-Language Pathologist, NPI 1427284793

KELLI R. MAEDER (MS, CCC-SLP) is a healthcare provider. based in Kirksville, Missouri. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MS, CCC-SLP. They hold a License No. 2006015441 (MO). The NPI Number for KELLI R. MAEDER (MS, CCC-SLP) is 1427284793

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
KELLI R. MAEDER (MS, CCC-SLP)
NPI
1427284793
Phone
(660) 785-1834
Address
PO BOX C8502
Enumeration Date
1 June 2009
Last Update Date
19 August 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6607851834
Graduation Year
2005 (21 years ago)
PAC ID
3971655861
Group Practice PAC ID
5698827525
Professional Enrollment ID
I20090724000015
Address ID
MO635012437KI502XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

192 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in MO

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Provider Addresses for KELLI R. MAEDER (MS, CCC-SLP)

  • PO BOX C8502

    KIRKSVILLE, MO 635018599

    Phone: (660) 785-1834

    Fax: (660) 785-1825

    Type: Mailing

  • South Baltimore Street, Kirksville, Adair County, Missouri, 63501, United States

    KIRKSVILLE, MO 635014640

    Phone: (660) 785-1834

    Fax: (660) 785-1825

    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: 2009-07-24

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
I20090724000015IQualified Speech Language PathologistMOTBD

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 63501)

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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: 5698827525View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
-MO
Physical Therapist In Private PracticeMO
-IL
-MO
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

What number should I use to identify KELLI R. MAEDER (MS, CCC-SLP) for billing?
Administrative and clinical systems typically use NPI 1427284793 for KELLI R. MAEDER (MS, CCC-SLP).
Is KELLI R. MAEDER (MS, CCC-SLP)'s NPI status active today?
Active status means KELLI R. MAEDER (MS, CCC-SLP)'s NPI record is not deactivated in the public file.
How should patients interpret KELLI R. MAEDER (MS, CCC-SLP)'s specialty?
The extract shows Speech-Language Pathologist for KELLI R. MAEDER (MS, CCC-SLP). Clinical services aligned with this taxonomy classification.
Which community is linked to KELLI R. MAEDER (MS, CCC-SLP)?
KELLI R. MAEDER (MS, CCC-SLP) shows a connection to Kirksville, Missouri in registry-derived data.
Who maintains KELLI R. MAEDER (MS, CCC-SLP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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