KELLY WALKER – Speech-Language Pathologist, NPI 1013660190

KELLY WALKER is a healthcare provider. based in Round rock, Texas. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold a License No. 104099 (TX). The NPI Number for KELLY WALKER is 1013660190

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KELLY WALKER
NPI
1013660190
Phone
(512) 484-1290
Address
5102 LEGHORN CV
Enumeration Date
30 January 2022
Last Update Date
30 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7372630448
Graduation Year
2008 (18 years ago)
PAC ID
1759774607
Group Practice PAC ID
6507832573
Professional Enrollment ID
I20220217000468
Address ID
TX787385627LA300XXPKWY300
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

635 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in TX

Provider Addresses for KELLY WALKER

  • 5102 LEGHORN CV

    ROUND ROCK, TX 786815524

    Phone: (512) 484-1290

    Type: Mailing

  • 109 ESTRELLA XING

    GEORGETOWN, TX 786286991

    Phone: (512) 943-9804

    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: 2022-02-17

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
I20220217000468IQualified Speech Language PathologistTXTBD

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 78681)

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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: 6507832573View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeLA
-IN
Occupational Therapist In Private PracticeTN
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeLA
-AR
Occupational Therapist In Private PracticeNJ
-IL
-TX
-OK

Reviews

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Frequently asked questions

Can I verify KELLY WALKER with an NPI only?
You can start verification with NPI 1013660190 for KELLY WALKER, then check state licensing separately.
Is KELLY WALKER listed as active for patients and plans?
The listing shows KELLY WALKER as active in the NPI system.
What is KELLY WALKER best known for clinically?
Directory data describes KELLY WALKER with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Does KELLY WALKER list a practice location?
Patients near Round Rock, Texas may find KELLY WALKER in results; validate coverage separately.
Is the information about KELLY WALKER up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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