JENNIFER LYNN WALK (M.S., CCC-SLP) – Speech-Language Pathologist, NPI 1275679904

JENNIFER LYNN WALK (M.S., CCC-SLP) is a healthcare provider. based in Prior lake, Minnesota. specializing in Speech-Language Pathologist. They hold the professional credentials M.S., CCC-SLP. They hold a License No. 3887 (KS). The NPI Number for JENNIFER LYNN WALK (M.S., CCC-SLP) is 1275679904

Main info

Female
Name
JENNIFER LYNN WALK (M.S., CCC-SLP)
NPI
1275679904
Phone
(952) 446-6021
Address
PO BOX 908
Enumeration Date
29 January 2007
Last Update Date
27 October 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for JENNIFER LYNN WALK (M.S., CCC-SLP)

  • PO BOX 908

    PRIOR LAKE, MN 553723628

    Phone: (952) 446-6021

    Type: Mailing

  • 12842, Galaxie Avenue, Apple Valley, Dakota County, Minnesota, 55124, United States

    APPLE VALLEY, MN 551247321

    Phone: (952) 446-6021

    Type: Location

  • 620 INDUSTRIAL RD

    GODDARD, KS 670527009

    Phone: (316) 749-6005

    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: 2022-01-19

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
I20220119000200IQualified Speech Language PathologistKSTBD

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

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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 55372)

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Reviews

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Frequently asked questions

What federal number belongs to JENNIFER LYNN WALK (M.S., CCC-SLP)?
The federal identifier for JENNIFER LYNN WALK (M.S., CCC-SLP) is NPI 1275679904.
Is JENNIFER LYNN WALK (M.S., CCC-SLP) currently active in the NPI registry?
CMS-published data lists JENNIFER LYNN WALK (M.S., CCC-SLP) as an active registrant.
Can you summarize JENNIFER LYNN WALK (M.S., CCC-SLP)'s specialty in plain language?
Clinically, the directory lists JENNIFER LYNN WALK (M.S., CCC-SLP) with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Does JENNIFER LYNN WALK (M.S., CCC-SLP) practice in Minnesota?
You will see Prior Lake, Minnesota on file for JENNIFER LYNN WALK (M.S., CCC-SLP) alongside any extra practice locations.
Is JENNIFER LYNN WALK (M.S., CCC-SLP) a real provider?
This page reflects official NPPES data for NPI 1275679904. Always confirm identity and privileges with the practice and licensing boards.