RACHEL PUSTULKA (MA, CCC-SLP) – Speech-Language Pathologist, NPI 1861627556

RACHEL PUSTULKA (MA, CCC-SLP) is a healthcare provider. based in Lorain, Ohio. specializing in Speech-Language Pathologist. They hold the professional credentials MA, CCC-SLP. They hold a License No. 5058 (OH). The NPI Number for RACHEL PUSTULKA (MA, CCC-SLP) is 1861627556

Main info

Female
Sole Proprietor
Name
RACHEL PUSTULKA (MA, CCC-SLP)
NPI
1861627556
Phone
(440) 282-3860
Address
1808 W 30TH ST
Enumeration Date
25 May 2009
Last Update Date
25 May 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for RACHEL PUSTULKA (MA, CCC-SLP)

  • 1808, West 30th Street, Lorain, Lorain County, Ohio, 44052, United States

    LORAIN, OH 440524309

    Phone: (440) 282-3860

    Fax: (440) 282-3860

    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: 2024-02-29

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
I20240229004056IQualified Speech Language PathologistOHTBD

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 44052)

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Reviews

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Frequently asked questions

What unique ID ties claims to RACHEL PUSTULKA (MA, CCC-SLP)?
NPI 1861627556 is assigned to RACHEL PUSTULKA (MA, CCC-SLP) under the national enumeration system.
Is RACHEL PUSTULKA (MA, CCC-SLP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does RACHEL PUSTULKA (MA, CCC-SLP) list a primary specialty?
If you are matching referrals, note Speech-Language Pathologist for RACHEL PUSTULKA (MA, CCC-SLP). Clinical services aligned with this taxonomy classification.
Where does public data place RACHEL PUSTULKA (MA, CCC-SLP)?
The snapshot lists Lorain, Ohio for RACHEL PUSTULKA (MA, CCC-SLP); download NPPES for the complete set.
What if Lorain, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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