MRS. KRISTI DIANE PELLETIER (M.A. CCC-SLP) – Speech-Language Pathologist, NPI 1114268992

MRS. KRISTI DIANE PELLETIER (M.A. CCC-SLP) is a healthcare provider. based in Corpus christi, Texas. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.A. CCC-SLP. They hold a License No. 103619 (TX). The NPI Number for MRS. KRISTI DIANE PELLETIER (M.A. CCC-SLP) is 1114268992

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTI DIANE PELLETIER (M.A. CCC-SLP)
NPI
1114268992
Phone
(361) 236-4281
Address
5857 TIMBERGATE DR
Enumeration Date
4 March 2013
Last Update Date
25 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8303318604
Graduation Year
2007 (19 years ago)
PAC ID
8628515541
Group Practice PAC ID
5698075323
Professional Enrollment ID
I20240808002810
Address ID
TX780062434BO1022XRDXX303

Contacts

Main Contact
https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness95
Years active:13State licenses:1Other names

635 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in TX

Provider Addresses for MRS. KRISTI DIANE PELLETIER (M.A. CCC-SLP)

  • 5857 TIMBERGATE DR

    CORPUS CHRISTI, TX 784144237

    Phone: (361) 236-4281

    Type: Mailing

  • 2203 BABCOCK RD

    SAN ANTONIO, TX 782294412

    Phone: (210) 614-3911

    Fax: (210) 625-3162

    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: 2024-08-08

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
I20240808002810IQualified 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 78414)

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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: 5698075323View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Qualified Speech Language PathologistTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What is the registry number for MRS. KRISTI DIANE PELLETIER (M.A. CCC-SLP)?
The registry entry for MRS. KRISTI DIANE PELLETIER (M.A. CCC-SLP) shows NPI 1114268992.
Does the public listing show MRS. KRISTI DIANE PELLETIER (M.A. CCC-SLP) as active?
MRS. KRISTI DIANE PELLETIER (M.A. CCC-SLP)'s NPI record reflects an active status in NPPES.
What does the directory say MRS. KRISTI DIANE PELLETIER (M.A. CCC-SLP) does?
Insurance directories may phrase it differently, but here MRS. KRISTI DIANE PELLETIER (M.A. CCC-SLP) maps to Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Is MRS. KRISTI DIANE PELLETIER (M.A. CCC-SLP) tied to Corpus Christi, Texas?
If you are local to Corpus Christi, Texas, MRS. KRISTI DIANE PELLETIER (M.A. CCC-SLP) may be relevant to your search.
Can I export MRS. KRISTI DIANE PELLETIER (M.A. CCC-SLP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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