SHAUN M HIEMSTRA (M.S., CCC-SLP) – Speech-Language Pathologist, NPI 1013123942
Speech-Language Pathologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
124 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in NE
Provider Addresses for SHAUN M HIEMSTRA (M.S., CCC-SLP)
321 GRAND AVE
RAVENNA, NE 688691321
Phone: (308) 452-7154
Fax: (308) 452-3394
Type: Mailing
3112, Antelope Avenue, East Lawn Mobile Home Estates, Kearney, Buffalo County, Nebraska, 68847, United States
KEARNEY, NE 688479781
Phone: (308) 338-9238
Fax: (308) 338-9208
Type: Location
4704, 28th Avenue, Kearney, Buffalo County, Nebraska, 68845, United States
KEARNEY, NE 688451269
Phone: (308) 237-4941
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.
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: 2009-07-13
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 |
|---|---|---|---|---|
| I20090713000548 | I | Qualified Speech Language Pathologist | NE | 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 |
|---|---|---|---|---|
| 92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | 444 | 35 | $0 |
| 92526 | Treatment of swallowing and feeding disorder | 81 | 14 | $0 |
| 92523 | Evaluation of speech sound production with evaluation of language comprehension and expression | 27 | 25 | $0 |
| 92610 | Evaluation of swallowing function | 19 | 14 | $0 |
Insurance plans in this area (ZIP 68869)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| QUALIFIED SPEECH LANGUAGE PATHOLOGI | NE | 92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | 42 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | NE | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | NE | |
| Occupational Therapist In Private Practice | NE | |
| Occupational Therapist In Private Practice | NE | |
| - | NE | |
| - | NE | |
| Physical Therapist In Private Practice | NE | |
| Qualified Speech Language Pathologist | NE | |
| Occupational Therapist In Private Practice | NE |
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