Individual provider Active NPI

Kristin M Pelczarski, PH.D.

  • Speech-Language Pathologist
  • Manhattan, KS
National Provider Identifier
1306270657
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3554 Issued in KS
Practice address
139 Campus Creek Complex
Ksu Speech & Hearing Center
Manhattan, KS 66506-7500
Phone
(785) 532-6879
Fax
(785) 532-6523
NPI assigned
Aug 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3554 KS Primary

Addresses

Primary practice location

139 Campus Creek Complex
Ksu Speech & Hearing Center
Manhattan, KS 66506-7500

Mailing address

139 Campus Creek Complex
Ksu Speech & Hearing Center
Manhattan, KS 66506-7500
Phone (785) 532-6879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926000589 KS Practitioner - Qualified Speech Language Pathologist 8820474018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas State UniversityGroup PAC ID 3971556770, 6 clinicians

Practice addresses (Care Compare)

139 Campus Creek Complex
Manhattan, KS 66506-7500
Phone (785) 532-6879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas State University Current Accepting new patients

Locations

139 Campus Creek Complex
Manhattan, KS 66506
Phone (785) 532-6879

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1306270657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CAMPUS CREEK COMPLEX",
            "address_2": "KSU SPEECH & HEARING CENTER",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665067500",
            "telephone_number": "785-532-6879",
            "fax_number": "785-532-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CAMPUS CREEK COMPLEX",
            "address_2": "KSU SPEECH & HEARING CENTER",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665067500",
            "telephone_number": "785-532-6879",
            "fax_number": "785-532-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELCZARSKI",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.

Verify at the official NPI Registry.