SUSAN MARIE BAGLEY – Speech-Language Pathologist, NPI 1447565965

SUSAN MARIE BAGLEY is a healthcare provider. based in Layton, Utah. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold a License No. 5379413-4102 (UT). The NPI Number for SUSAN MARIE BAGLEY is 1447565965

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN MARIE BAGLEY
NPI
1447565965
Phone
(801) 628-0945
Address
2145 N 2200 E
Enumeration Date
9 August 2010
Last Update Date
9 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8016145700308
Graduation Year
2003 (23 years ago)
PAC ID
0042734881
Group Practice PAC ID
1850747940
Professional Enrollment ID
I20250414001794
Address ID
UT840156298CL1795XWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

87 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in UT

Provider Addresses for SUSAN MARIE BAGLEY

  • 2145 N 2200 E

    LAYTON, UT 840408058

    Phone: (801) 628-0945

    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: 2025-04-14

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
I20250414001794IQualified Speech Language PathologistUTTBD

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 84040)

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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: 1850747940View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Occupational Therapist In Private PracticeUT
Occupational Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Qualified Speech Language PathologistAZ

Reviews

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Frequently asked questions

How do payers reference SUSAN MARIE BAGLEY?
For SUSAN MARIE BAGLEY, use NPI 1447565965 as the unique 10-digit identifier.
Is there an active status for SUSAN MARIE BAGLEY?
For scheduling context, SUSAN MARIE BAGLEY is shown as active in the registry.
What expertise is attributed to SUSAN MARIE BAGLEY?
SUSAN MARIE BAGLEY's specialty line reads Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where in Utah is SUSAN MARIE BAGLEY registered?
Use Layton, Utah as the headline location for SUSAN MARIE BAGLEY here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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