MRS. MAKAYLA ELANI WATSON (CCC-SLP) – Speech-Language Pathologist, NPI 1699559120

MRS. MAKAYLA ELANI WATSON (CCC-SLP) is a healthcare provider. based in Excelsior, Minnesota. specializing in Speech-Language Pathologist. They hold the professional credentials CCC-SLP. They hold a License No. 528692 (MN). The NPI Number for MRS. MAKAYLA ELANI WATSON (CCC-SLP) is 1699559120

Main info

Female
Name
MRS. MAKAYLA ELANI WATSON (CCC-SLP)
NPI
1699559120
Phone
(952) 401-4242
Address
464 2ND ST STE 105
Enumeration Date
24 August 2023
Last Update Date
17 March 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

Provider Addresses for MRS. MAKAYLA ELANI WATSON (CCC-SLP)

  • 464 2ND ST STE 105

    EXCELSIOR, MN 553312015

    Phone: (952) 401-4242

    Type: Mailing

  • 75100 MEDITERRANEAN

    PALM DESERT, CA 922119069

    Phone: (888) 439-4088

    Type: Mailing

  • 6887 PINE CREST TRL S

    COTTAGE GROVE, MN 550164572

    Phone: (951) 491-1791

    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: 2023-10-02

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
I20231002002312IQualified Speech Language PathologistMNTBD

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 55331)

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Reviews

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Frequently asked questions

How do payers reference MRS. MAKAYLA ELANI WATSON (CCC-SLP)?
For MRS. MAKAYLA ELANI WATSON (CCC-SLP), use NPI 1699559120 as the unique 10-digit identifier.
Active or inactive — what applies to MRS. MAKAYLA ELANI WATSON (CCC-SLP)?
You should see MRS. MAKAYLA ELANI WATSON (CCC-SLP) as active in CMS-hosted NPPES data.
What kind of doctor is MRS. MAKAYLA ELANI WATSON (CCC-SLP)?
MRS. MAKAYLA ELANI WATSON (CCC-SLP) is associated with Speech-Language Pathologist in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. MAKAYLA ELANI WATSON (CCC-SLP) associated with Excelsior?
Public fields place MRS. MAKAYLA ELANI WATSON (CCC-SLP) around Excelsior, Minnesota. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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