MELISSA SUE PORE (CCC/SLP) – Speech-Language Pathologist, NPI 1679915201
Speech-Language Pathologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
357 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in PA
Provider Addresses for MELISSA SUE PORE (CCC/SLP)
206 MAIN ST
SHIPPENVILLE, PA 162543906
Phone:
Type: Mailing
21158 PAINT BLVD
SHIPPENVILLE, PA 162544024
Phone: (814) 227-9166
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: 2025-12-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20171204001766 | I | Qualified Speech Language Pathologist | PA | TBD |
| I20251112002825 | I | Qualified Speech Language Pathologist | CA | TBD |
| I20251204000265 | I | Qualified Speech Language Pathologist | NV | 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 16254)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | CA | |
| Qualified Speech Language Pathologist | OK | |
| Qualified Speech Language Pathologist | FL | |
| Occupational Therapist In Private Practice | TX | |
| Qualified Speech Language Pathologist | AZ | |
| Qualified Speech Language Pathologist | MS | |
| Qualified Speech Language Pathologist | CA | |
| Qualified Speech Language Pathologist | TX | |
| Qualified Speech Language Pathologist | TX | |
| Occupational Therapist In Private Practice | MD |
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