AUBRY KACSUR (MS CCC-SLP) – Speech-Language Pathologist, NPI 1114693223

AUBRY KACSUR (MS CCC-SLP) is a healthcare provider. based in Walnutport, Pennsylvania. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MS CCC-SLP. They hold a License No. SL015104 (PA). The NPI Number for AUBRY KACSUR (MS CCC-SLP) is 1114693223

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AUBRY KACSUR (MS CCC-SLP)
NPI
1114693223
Phone
Not provided
Address
4729 TIMBERLINE RD
Enumeration Date
18 August 2021
Last Update Date
18 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6107928800
Graduation Year
2019 (7 years ago)
PAC ID
7911357538
Group Practice PAC ID
0143133009
Professional Enrollment ID
I20240307003149
Address ID
PA194681511LI470XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

357 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in PA

Provider Addresses for AUBRY KACSUR (MS CCC-SLP)

  • 4729 TIMBERLINE RD

    WALNUTPORT, PA 180889111

    Phone:

    Type: Mailing

  • 4227 MANOR DR

    STROUDSBURG, PA 183609451

    Phone: (724) 327-3553

    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: 2024-03-07

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
I20240307003149IQualified 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

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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 18088)

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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: 0143133009View full group profile

Reviews

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Frequently asked questions

Can I cross-check AUBRY KACSUR (MS CCC-SLP) using NPI 1114693223?
NPI 1114693223 belongs to AUBRY KACSUR (MS CCC-SLP); compare other details if you need extra assurance.
Is there an active status for AUBRY KACSUR (MS CCC-SLP)?
For scheduling context, AUBRY KACSUR (MS CCC-SLP) is shown as active in the registry.
How would a patient describe AUBRY KACSUR (MS CCC-SLP)'s focus?
For AUBRY KACSUR (MS CCC-SLP), the primary taxonomy reads as Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Is AUBRY KACSUR (MS CCC-SLP) located near Walnutport?
AUBRY KACSUR (MS CCC-SLP) currently maps to Walnutport, Pennsylvania in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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