KRISTEN J DESARRO (SLP) – Speech-Language Pathologist, NPI 1417208398

KRISTEN J DESARRO (SLP) is a healthcare provider. based in Lima, Ohio. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SLP. They hold a License No. SL008437 (PA). The NPI Number for KRISTEN J DESARRO (SLP) is 1417208398

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN J DESARRO (SLP)
NPI
1417208398
Phone
(419) 999-2030
Address
1100 SHAWNEE ROAD
Enumeration Date
2 October 2012
Last Update Date
2 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6104194092
Graduation Year
2003 (23 years ago)
PAC ID
2466890744
Group Practice PAC ID
2163339722
Professional Enrollment ID
I20240405000165
Address ID
PA180178978BE3500XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

357 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in PA

Provider Addresses for KRISTEN J DESARRO (SLP)

  • 1100 SHAWNEE ROAD

    LIMA, OH 45805

    Phone: (419) 999-2030

    Fax: (419) 991-0909

    Type: Mailing

  • 1118 WOODWARD DRIVE

    GREENSBURG, PA 156016414

    Phone: (724) 836-4424

    Fax: (724) 836-4613

    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: 2024-04-05

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
I20240405000165IQualified Speech Language PathologistPATBD

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 45805)

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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: 2163339722View full group profile
NameSpecialtyState
Internal MedicineVA
-NY
Nurse PractitionerMI
Family PracticeTX
Physician AssistantNC
Internal Medicine, Geriatric MedicineNC
Qualified Speech Language PathologistOK
Occupational Therapist In Private PracticeNC
Internal MedicineNC
Internal MedicineNC

Reviews

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Frequently asked questions

Where can patients find KRISTEN J DESARRO (SLP)'s NPI?
You can confirm KRISTEN J DESARRO (SLP) with NPI 1417208398; it appears in the national provider directory.
Is KRISTEN J DESARRO (SLP)'s NPI currently valid?
The extract we use shows KRISTEN J DESARRO (SLP) as active.
What kind of provider is KRISTEN J DESARRO (SLP)?
The page reflects Speech-Language Pathologist for KRISTEN J DESARRO (SLP). Clinical services aligned with this taxonomy classification.
Where is KRISTEN J DESARRO (SLP)'s primary listing?
We display Lima, Ohio because that is what the record indicates for KRISTEN J DESARRO (SLP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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