STACIE KAMMER (SLP) – Speech-Language Pathologist, NPI 1538242276
Speech-Language Pathologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for STACIE KAMMER (SLP)
1498 N Broadway St
Greenville, OH 453312454
Phone: (937) 548-9495
Fax: (937) 548-3055
Type: Location
1498, Broadway Street, Greenville, New Orleans, Orleans Parish, Louisiana, 70118, United States
GREENVILLE, OH 453312454
Phone: (937) 548-9495
Fax: (937) 548-3055
Type: Location
9939 DETLING RD
ANSONIA, OH 453039736
Phone: (937) 548-9495
Fax: (937) 548-3055
Type: Mailing
1101 JACKSON ST STE C
GREENVILLE, OH 453311396
Phone: (937) 547-2319
Fax: (937) 548-4248
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: 2019-08-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190829001731 | I | Qualified Speech Language Pathologist | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45331)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | PA | |
| Family Practice | PA | |
| Internal Medicine | PA | |
| Sleep Medicine, Neurology | PA | |
| Sports Medicine | PA | |
| Family Practice | NY | |
| Family Practice | PA | |
| P O D I A T R Y | PA | |
| Family Practice, Emergency Medicine, Neurology, Pain Management | PA | |
| Urology, Obstetrics/Gynecology | MD |
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