Individual provider Active NPI

Madeline Ivy Poppen, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Elkhorn, NE
National Provider Identifier
1568131183
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
18920 Nicholas St
Elkhorn, NE 68022-3938
Phone
(402) 570-3705
NPI assigned
Sep 8, 2021
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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 NU Primary

Addresses

Primary practice location

18920 Nicholas St
Elkhorn, NE 68022-3938

Mailing address

18920 Nicholas St
Elkhorn, NE 68022-3938
Phone (402) 570-3705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18920 Nicholas St
Elkhorn, NE 68022-3938

7686 Walnut St
Omaha, NE 68124-1717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Community Schools Foundation Inc. CurrentSince Mar 11, 2025 Accepting new patients
Key Physical Therapy PC Speech-Language Pathologist CurrentSince Jun 28, 2026 Accepting new patients

Locations

9030 Western Ave
Omaha, NE 68114
Phone (402) 390-6472

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1568131183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18920 NICHOLAS ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223938",
            "telephone_number": "402-570-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18920 NICHOLAS ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680223938",
            "telephone_number": "402-570-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPEN",
        "first_name": "MADELINE",
        "middle_name": "IVY",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.