Active NPI
Kristin M Pelczarski, PH.D.
- Speech-Language Pathologist
- Manhattan, KS
National Provider Identifier
1306270657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3554
- 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
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 | 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
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
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
| Organization | Specialty | Status | New 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.
-
- Hearing and Speech Clinic/Center
- Manhattan, KS
- NPI 1790905446
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.