KATIE MARIE CONICELLI – Speech-Language Pathologist, NPI 1346069804

KATIE MARIE CONICELLI is a healthcare provider. based in Harleysville, Pennsylvania. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold a License No. SL014565 (PA). The NPI Number for KATIE MARIE CONICELLI is 1346069804

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KATIE MARIE CONICELLI
NPI
1346069804
Phone
(484) 645-7244
Address
2081 BRADEN CT
Enumeration Date
10 October 2024
Last Update Date
10 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6107285236
Graduation Year
2017 (9 years ago)
PAC ID
8022546571
Group Practice PAC ID
9032141189
Professional Enrollment ID
I20250110002575
Address ID
PA194035615AU10000DRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

357 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in PA

Provider Addresses for KATIE MARIE CONICELLI

  • 2081 BRADEN CT

    HARLEYSVILLE, PA 194382890

    Phone: (484) 645-7244

    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: 2025-01-10

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
I20250110002575IQualified 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 19438)

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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: 9032141189View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticePA
Family PracticePA
Physical Therapist In Private PracticePA
Occupational Therapist In Private PracticePA
Nurse PractitionerPA
Nurse PractitionerPA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Occupational Therapist In Private PracticePA
Internal MedicinePA

Reviews

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Frequently asked questions

Can I cross-check KATIE MARIE CONICELLI using NPI 1346069804?
NPI 1346069804 belongs to KATIE MARIE CONICELLI; compare other details if you need extra assurance.
Is KATIE MARIE CONICELLI still an active registrant?
KATIE MARIE CONICELLI carries an active NPI according to the public dataset.
What clinical focus is listed for KATIE MARIE CONICELLI?
At a glance, KATIE MARIE CONICELLI is tied to Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What locale is associated with KATIE MARIE CONICELLI?
Directory geography for KATIE MARIE CONICELLI centers on Harleysville, Pennsylvania.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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