MCKENZIE RUPP – Speech-Language Pathologist, NPI 1285152538

MCKENZIE RUPP is a healthcare provider. based in Winnemucca, Nevada. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold a License No. SP-2172 (NV). The NPI Number for MCKENZIE RUPP is 1285152538

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MCKENZIE RUPP
NPI
1285152538
Phone
(208) 995-3718
Address
5250 WESTERN WAY
Enumeration Date
7 September 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
7756252222
Graduation Year
2017 (9 years ago)
PAC ID
8325465958
Group Practice PAC ID
8820322555
Professional Enrollment ID
I20200827003129
Address ID
NV894453406WI135XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

80 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in NV

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Provider Addresses for MCKENZIE RUPP

  • Western Way, Winnemucca, Humboldt County, Nevada, 89445, United States

    WINNEMUCCA, NV 894456103

    Phone: (208) 995-3718

    Mailing address matches the actual address.

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: 2020-08-27

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
I20200827003129IQualified Speech Language PathologistNVTBD

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 89445)

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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: 8820322555View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
-NV
Occupational Therapist In Private PracticeNV
-NV
Physical Therapist In Private PracticeNV

Reviews

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Frequently asked questions

Is there an official ID for MCKENZIE RUPP in U.S. healthcare records?
The official identifier for MCKENZIE RUPP is NPI 1285152538.
Would MCKENZIE RUPP appear as active to a payer?
You can treat MCKENZIE RUPP as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MCKENZIE RUPP?
MCKENZIE RUPP is associated with Speech-Language Pathologist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MCKENZIE RUPP?
Travel planning: use Winnemucca, Nevada as the reference point for MCKENZIE RUPP, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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