REBECCA WOLTERS (M.S., CCC-SLP) – Speech-Language Pathologist, NPI 1063048429

REBECCA WOLTERS (M.S., CCC-SLP) is a healthcare provider. based in Tulsa, Oklahoma. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.S., CCC-SLP. They hold a License No. 5281 (OK). The NPI Number for REBECCA WOLTERS (M.S., CCC-SLP) is 1063048429

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA WOLTERS (M.S., CCC-SLP)
NPI
1063048429
Phone
(918) 392-7600
Address
8125 E 101st St Ste 50
Enumeration Date
18 March 2020
Last Update Date
28 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4055484300
Graduation Year
2019 (7 years ago)
PAC ID
8022433044
Group Practice PAC ID
8820195399
Professional Enrollment ID
I20200806003281
Address ID
OK731204625OK11500AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

114 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in OK

Provider Addresses for REBECCA WOLTERS (M.S., CCC-SLP)

  • 8125 E 101st St Ste 50

    Tulsa, OK 741337245

    Phone: (918) 392-7600

    Fax: (405) 548-4349

    Type: Location

  • 2272 36th Ave NW Ste 200

    Norman, OK 730723251

    Phone: (405) 767-4200

    Fax: (405) 548-4350

    Type: Location

  • 11500 N PORTLAND AVE

    OKLAHOMA CITY, OK 731204625

    Phone: (405) 548-4300

    Fax: (405) 548-4349

    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: 2020-08-06

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
I20200806003281IQualified Speech Language PathologistOKTBD

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 74133)

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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: 8820195399View full group profile
NameSpecialtyState
Qualified AudiologistOK
-OK
-OK
Qualified AudiologistOK
-OK
Qualified Speech Language PathologistOK
Qualified AudiologistOK
Qualified Speech Language PathologistOK
Qualified AudiologistOK
Qualified AudiologistOK

Reviews

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Frequently asked questions

Can I verify REBECCA WOLTERS (M.S., CCC-SLP) with an NPI only?
You can start verification with NPI 1063048429 for REBECCA WOLTERS (M.S., CCC-SLP), then check state licensing separately.
Is REBECCA WOLTERS (M.S., CCC-SLP) still practicing?
REBECCA WOLTERS (M.S., CCC-SLP) is currently listed as active in the public NPI registry.
What healthcare role does REBECCA WOLTERS (M.S., CCC-SLP) hold?
Scheduling teams often label REBECCA WOLTERS (M.S., CCC-SLP) under Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where is REBECCA WOLTERS (M.S., CCC-SLP) based?
REBECCA WOLTERS (M.S., CCC-SLP) is tied to Tulsa, Oklahoma in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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