ANGELA DAWN ELLIOTT MA, CCC-SLP
NPI 1003108960
Speech-Language Pathologist in Canon City, CO
About Angela Dawn Elliott Ma, Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA DAWN ELLIOTT MA, CCC-SLP (NPI 1003108960) is an individual speech-language pathologist provider in Canon City, Colorado and active in the NPI registry since May 2011. She maintains a secondary practice location in Canon City.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angela Dawn Elliott Ma, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Angela Elliott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Canon City, CO 81212
- Reassigned Medicare billing, Colorado enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Angela Elliott's NPI number?
The NPI number for Angela Elliott is 1003108960. It was assigned to this individual provider in the NPPES registry on May 11, 2011.
Where is Angela Elliott located?
Angela Elliott practices at 1124 Field Ave, Canon City, CO 81212. The listed phone number is (719) 276-0991.
What is Angela Elliott's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Angela Elliott enrolled in Medicare?
Yes. Angela Elliott is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Angela Elliott's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Elliott reassigns Medicare benefits to The Speech Garden LLC (Canon City, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Angela Elliott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Angela Elliott was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Angela Dawn Elliott, MA, CCC-SLP · NPI 1003108960
Speech-Language Pathologist provider in Canon City, Colorado. Individual provider, active in the CMS NPPES registry since May 11, 2011.
## Identity
- **NPI:** 1003108960 (Entity type: Individual)
- **Enumerated:** May 11, 2011
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1124 FIELD AVE, Canon City, CO 81212-9252
- **Phone:** (719) 276-0991
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** The Speech Garden LLC (NPI 1881248722, Canon City, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 28, 2018
- **Other identifiers:** Medicaid 67871879 (CO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1003108960) · Data from the CMS NPPES public registry.