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: July 26, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

Nurse Practitioner (Family)
1650 S 41ST ST
MANITOWOC, WI 54220
Nurse Practitioner (Gerontology)
1650 S 41ST ST
MANITOWOC, WI 54220
Occupational Therapist
1650 S 41ST ST
MANITOWOC, WI 54220
Psychiatry & Neurology (Psychiatry)
1650 S 41ST ST
MANITOWOC, WI 54220
Nurse Practitioner (Family)
1650 S 41ST ST
MANITOWOC, WI 54220
Physical Therapy Assistant
1650 S 41ST ST
MANITOWOC, WI 54220
Physical Therapist
1650 S 41ST ST
MANITOWOC, WI 54220
Nurse Practitioner
1650 S 41ST ST
MANITOWOC, WI 54220

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.

When was this NPI record last updated?

The NPPES record for Jennie Mccormick was last updated on December 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.