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JACK ERVIN SLP
NPI 1003614108
Speech-Language Pathologist in Windsor, CO

Active since March 04, 2025
1914 IRON WHEEL DR UNIT 2, WINDSOR, CO 80550(815) 549-8089(855) 678-8887 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jack Ervin Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK ERVIN SLP (NPI 1003614108) is an individual speech-language pathologist provider in Windsor, Colorado, licensed in Colorado (0005899) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1003614108
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameJACK ERVINCredential: SLP
Location Address1914 IRON WHEEL DR UNIT 2Windsor, CO 80550-3897
Mailing Address1914 Iron Wheel Dr Unit 2Windsor, CO 80550-3897 · (815) 549-8089 · Fax (855) 678-8887
Phone(815) 549-8089
Fax(855) 678-8887
Sole ProprietorYes
Enumeration DateMarch 4, 2025
NPPES CertifiedMarch 4, 2025
✔ NPI 1003614108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CO · 0005899
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1914 IRON WHEEL DR UNIT 2, Windsor, CO 80550
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Ervin Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Jack Ervin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prestige Rehab Colorado
109 mi
Physical Therapist
2020 N ACADEMY BLVD STE 261
Colorado Springs, CO 80909
  • Reassigned Medicare billing, Colorado enrollment
  • 20 clinicians in this Medicare group
NPI 1972333961 (855) 678-8887
Prestige Rehab LLC
1,615 mi
Physical Therapist
20 COUNTRY CLUB LN
Colts Neck, NJ 07722
  • Reassigned Medicare billing, Colorado enrollment
  • 15 clinicians in this Medicare group
NPI 1750032553 (908) 670-7573

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jack Ervin's NPI number?

The NPI number for Jack Ervin is 1003614108. It was assigned to this individual provider in the NPPES registry on March 4, 2025.

Where is Jack Ervin located?

Jack Ervin practices at 1914 Iron Wheel Dr Unit 2, Windsor, CO 80550. The listed phone number is (815) 549-8089.

What is Jack Ervin's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jack Ervin enrolled in Medicare?

Yes. Jack Ervin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jack Ervin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Ervin reassigns Medicare benefits to 2 organizations: Prestige Rehab Colorado (Colorado Springs, CO) and Prestige Rehab LLC (Colts Neck, NJ). Each 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 Jack Ervin'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 Jack Ervin was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.