CAITLIN WEBER RYAN (MS, CCC-SLP) – Speech-Language Pathologist, NPI 1164800579

CAITLIN WEBER RYAN (MS, CCC-SLP) is a healthcare provider. based in Holmen, Wisconsin. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MS, CCC-SLP. They hold a License No. 4105-154 (WI). The NPI Number for CAITLIN WEBER RYAN (MS, CCC-SLP) is 1164800579

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
CAITLIN WEBER RYAN (MS, CCC-SLP)
NPI
1164800579
Phone
(608) 526-9965
Address
106 S HOLMEN DR
Enumeration Date
18 May 2015
Last Update Date
2 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8002011194
Graduation Year
2014 (12 years ago)
PAC ID
7911400593
Group Practice PAC ID
6204740186
Professional Enrollment ID
I20250910003048
Address ID
WI549561993NE1305XDRXX400
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

202 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in WI

Provider Addresses for CAITLIN WEBER RYAN (MS, CCC-SLP)

  • 106 S HOLMEN DR

    SUITE 2

    HOLMEN, WI 546369467

    Phone: (608) 526-9965

    Type: Mailing

  • 36500 AURORA DR

    SUMMIT, WI 530664899

    Phone: (262) 434-2600

    Type: Location

  • 36500 Aurora Dr

    Summit, WI 530664899

    Phone: (262) 434-2600

    Type: Location

  • 130 2nd St

    Neenah, WI 549562883

    Phone: (920) 729-2155

    Fax: (920) 720-7350

    Type: Location

  • 2400 E Capitol Dr

    Appleton, WI 549118728

    Phone: (920) 729-2155

    Fax: (920) 720-7350

    Type: Location

  • 1818 N Meade St

    Appleton, WI 549113454

    Phone: (920) 729-2155

    Fax: (920) 720-7350

    Type: Location

  • 1305 W AMERICAN DR

    NEENAH, WI 549561993

    Phone: (920) 725-9373

    Type: Mailing

  • 445 W Calumet St

    Appleton, WI 549151401

    Phone: (920) 725-9373

    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: 2025-09-10

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
I20250910003048IQualified Speech Language PathologistWITBD

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 54636)

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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: 6204740186View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWI
-OH
Physical Therapist In Private PracticeWI
Physical Medicine And RehabilitationWI
-WI
-WI
Physician AssistantWI
Clinical Social WorkerWI
Physical Medicine And RehabilitationWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

How is CAITLIN WEBER RYAN (MS, CCC-SLP) identified in CMS data?
CMS-hosted NPPES data lists CAITLIN WEBER RYAN (MS, CCC-SLP) with NPI 1164800579.
Can I rely on CAITLIN WEBER RYAN (MS, CCC-SLP) being an active provider?
As of the registry snapshot, CAITLIN WEBER RYAN (MS, CCC-SLP) is marked active.
What is CAITLIN WEBER RYAN (MS, CCC-SLP)'s specialty?
The listing groups CAITLIN WEBER RYAN (MS, CCC-SLP) with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What address line appears for CAITLIN WEBER RYAN (MS, CCC-SLP)?
CAITLIN WEBER RYAN (MS, CCC-SLP)'s geographic hint is Holmen, Wisconsin in our summary view.
Why does CAITLIN WEBER RYAN (MS, CCC-SLP) have multiple addresses?
9 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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