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JENNIE MCCORMICK
NPI 1053022962
Speech-Language Pathologist in Manitowoc, WI

Active since December 12, 2022Accepts Medicare Assignment
1650 S 41ST ST, MANITOWOC, WI 54220(920) 320-3100 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennie Mccormick NPPES

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

JENNIE MCCORMICK (NPI 1053022962) is an individual speech-language pathologist provider in Manitowoc, Wisconsin, licensed in Wisconsin (6076) and active in the NPI registry since December 2022. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1053022962
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJENNIE MCCORMICK
Location Address1650 S 41ST STManitowoc, WI 54220-7316
Mailing Address1650 S 41st StManitowoc, WI 54220-7316 · (920) 320-3100
Phone(920) 320-3100
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 12, 2022
NPPES CertifiedDecember 8, 2022
✔ NPI 1053022962 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 WI · 6076
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.
1650 S 41ST ST, Manitowoc, WI 54220
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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 and accepts Medicare assignment

Jennie Mccormick is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961939251
PECOS Enrollment IDI20241227001509

Medicare Billing Reassignment

Medicare enrollment records show Jennie Mccormick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fox Rehabilitation Services Mn LLC
292 mi
Physical Therapist
500 CARLSON PKWY
Minnetonka, MN 55305
  • Reassigned Medicare billing, Minnesota enrollment
  • 87 clinicians in this Medicare group
NPI 1356802862 (877) 407-3422

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA J BACKUS N.P.
Nurse Practitioner (Family)
1650 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-4500
TAHNEE SIEWERT
Nurse Practitioner (Gerontology)
1650 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-4660
JOHN LEO OLSEN M.D.
Psychiatry & Neurology (Psychiatry)
1650 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-2436
JESSICA L LIETZAN FNP-C
Nurse Practitioner (Family)
1650 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-2436
PAMELA J POSVIC PTA
Physical Therapy Assistant
1650 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-4000
NICOLE DREW PT
Physical Therapist
1650 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-3100
VERONICA MCFARLANE APNP
Nurse Practitioner
1650 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-2436
ALEXANDER ENGEL PHYSICIAN ASSISTANT
Physician Assistant
1650 S 41ST ST
MANITOWOC, WI 54220
Manitowoc County (920) 320-2436

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 Jennie Mccormick's NPI number?

The NPI number for Jennie Mccormick is 1053022962. It was assigned to this individual provider in the NPPES registry on December 12, 2022.

Where is Jennie Mccormick located?

Jennie Mccormick practices at 1650 S 41st St, Manitowoc, WI 54220. The listed phone number is (920) 320-3100.

What is Jennie Mccormick's specialty?

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

Is Jennie Mccormick enrolled in Medicare?

Yes. Jennie Mccormick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jennie Mccormick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennie Mccormick reassigns Medicare benefits to Fox Rehabilitation Services Mn LLC (Minnetonka, MN). 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 Jennie Mccormick'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 Jennie Mccormick was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.