NATHANIEL RAY CROSS (MS, CCC-SLP) – Speech-Language Pathologist, NPI 1801565734

NATHANIEL RAY CROSS (MS, CCC-SLP) is a healthcare provider. based in Bullard, Texas. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MS, CCC-SLP. They hold a License No. 122194 (TX). The NPI Number for NATHANIEL RAY CROSS (MS, CCC-SLP) is 1801565734

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
NATHANIEL RAY CROSS (MS, CCC-SLP)
NPI
1801565734
Phone
(661) 917-0042
Address
487 WICHITA ST
Enumeration Date
13 September 2021
Last Update Date
16 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8003809153
Graduation Year
2021 (5 years ago)
PAC ID
0244752608
Group Practice PAC ID
9032552559
Professional Enrollment ID
I20250314003158
Address ID
TX757030526TY2055XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

635 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in TX

Provider Addresses for NATHANIEL RAY CROSS (MS, CCC-SLP)

  • 487 WICHITA ST

    BULLARD, TX 757576751

    Phone: (661) 917-0042

    Type: Mailing

  • 2301 S BROADWAY AVE STE B10

    TYLER, TX 757015409

    Phone: (903) 884-7500

    Type: Location

  • 837 W 800 N

    OREM, UT 840573661

    Phone: (661) 917-0042

    Type: Mailing

  • 3773 W 12600 S

    RIVERTON, UT 840655577

    Phone: (801) 285-1285

    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: 2025-03-14

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
I20250314003158IQualified 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 75757)

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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: 9032552559View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeFL
Qualified Speech Language PathologistFL
Occupational Therapist In Private PracticeTX
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeTN

Reviews

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Frequently asked questions

What is the registry number for NATHANIEL RAY CROSS (MS, CCC-SLP)?
The registry entry for NATHANIEL RAY CROSS (MS, CCC-SLP) shows NPI 1801565734.
Should I treat NATHANIEL RAY CROSS (MS, CCC-SLP) as an active provider?
Patients and plans typically see NATHANIEL RAY CROSS (MS, CCC-SLP) as active in the national extract.
What type of care does NATHANIEL RAY CROSS (MS, CCC-SLP) provide?
NATHANIEL RAY CROSS (MS, CCC-SLP)'s profile centers on Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Is NATHANIEL RAY CROSS (MS, CCC-SLP) tied to Bullard, Texas?
If you are local to Bullard, Texas, NATHANIEL RAY CROSS (MS, CCC-SLP) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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