Active NPI
Stephani Wesely
- Speech-Language Pathologist
- Waterloo, NE
National Provider Identifier
1073302220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1687
- Practice address
- 23704 Elm Cir
Waterloo, NE 68069-9513 - Phone
- (531) 216-8111
- NPI assigned
- May 5, 2025
- Last updated
- May 5, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1687 | NE | Primary |
Addresses
Primary practice location
23704 Elm Cir
Waterloo, NE 68069-9513
Mailing address
23704 Elm Cir
Waterloo, NE 68069-9513
Phone (531) 216-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250604002435 | NE | Practitioner - Qualified Speech Language Pathologist | 6204345895 | Practice locations: Waterloo, NE |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Waterloo, NE 68069
Phone (531) 216-8111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1073302220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23704 ELM CIR",
"city": "WATERLOO",
"state": "NE",
"postal_code": "680699513",
"telephone_number": "531-216-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23704 ELM CIR",
"city": "WATERLOO",
"state": "NE",
"postal_code": "680699513",
"telephone_number": "531-216-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESELY",
"first_name": "STEPHANI",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-05-05",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "1687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.