ELIZABETH MARIE VAN WINKLE (M.S.) – Speech-Language Pathologist, NPI 1154679710

ELIZABETH MARIE VAN WINKLE (M.S.) is a healthcare provider. based in Omaha, Nebraska. specializing in Speech-Language Pathologist. They hold the professional credentials M.S.. They hold a License No. 002236 (IA). The NPI Number for ELIZABETH MARIE VAN WINKLE (M.S.) is 1154679710

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH MARIE VAN WINKLE (M.S.)
NPI
1154679710
Phone
(402) 354-5048
Address
8303 DODGE ST
Enumeration Date
29 August 2012
Last Update Date
13 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
4082858055
Group Practice PAC ID
6901707447
Professional Enrollment ID
I20130912000233
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

Provider Addresses for ELIZABETH MARIE VAN WINKLE (M.S.)

  • 8303 DODGE ST

    SUITE 304

    OMAHA, NE 681144108

    Phone: (402) 354-5048

    Fax: (402) 354-2585

    Type: Location

  • PO BOX 10190

    VIRGINIA BEACH, VA 234500190

    Phone: (800) 477-5240

    Fax: (757) 463-6572

    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: 2013-09-12

PECOS data refreshed: 2026-06-15

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
I20130912000233IQualified Speech Language PathologistNETBD

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 68114)

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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: 6901707447View full group profile
NameSpecialtyState
-NE
Physician AssistantVA
P A T H O L O G YNE
Nurse PractitionerNE
Cardiovascular Disease (Cardiology), Internal MedicineNE
Nurse PractitionerNE
Maxillofacial SurgeryNE
P A T H O L O G YNE
-NE
P A T H O L O G YNE

Reviews

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Frequently asked questions

Does ELIZABETH MARIE VAN WINKLE (M.S.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ELIZABETH MARIE VAN WINKLE (M.S.) uses 1154679710.
Does CMS list ELIZABETH MARIE VAN WINKLE (M.S.) as active?
Yes — ELIZABETH MARIE VAN WINKLE (M.S.) is active in the NPI listing used on this page.
What is ELIZABETH MARIE VAN WINKLE (M.S.)'s specialty?
The listing groups ELIZABETH MARIE VAN WINKLE (M.S.) with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What area does ELIZABETH MARIE VAN WINKLE (M.S.) serve?
ELIZABETH MARIE VAN WINKLE (M.S.)'s listing highlights Omaha, Nebraska; more addresses can appear in NPPES.
Is the information about ELIZABETH MARIE VAN WINKLE (M.S.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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