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KELLY MARIE LIEBERGEN
NPI 1063062271
Speech-Language Pathologist in Greenfield, WI

Active since September 19, 2019
9000 W SURA LN, GREENFIELD, WI 53228(414) 246-6800 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 5, 2025, Jan 3, 2022, Oct 21, 2021 and 1 more (4 updates tracked since 2019).

About Kelly Marie Liebergen NPPES

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

KELLY MARIE LIEBERGEN (NPI 1063062271) is an individual speech-language pathologist provider in Greenfield, Wisconsin, licensed in Wisconsin (L162-5009-3930-07) and active in the NPI registry since September 2019. She maintains a secondary practice location in Manitowoc.

NPPES Registry Identity

NPI1063062271
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY MARIE LIEBERGEN
Location Address9000 W SURA LNGreenfield, WI 53228-3477
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 246-6800
Sole ProprietorNo
Enumeration DateSeptember 19, 2019
Last NPPES UpdateNovember 5, 20254 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1063062271 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 · L162-5009-3930-07
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.
9000 W SURA LN, Greenfield, WI 53228
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Secondary Practice Location 1

Location 11650 S 41st StManitowoc, WI 54220-7316 · Phone (920) 320-3100 · Fax (920) 320-5114

Other Identifiers 1

Medicaid100094667WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Quartz, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Marie Liebergen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Aurora Medical Group, Inc.
2.9 mi
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1457592735 (414) 328-8650

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.

STEPHANEY ANNE BUBLITZ OTR/L
Occupational Therapist
9000 W SURA LN
GREENFIELD, WI 53228
Milwaukee County (414) 246-6800
MRS. AMELIA LYNN BEHREND PT, DPT
Physical Therapist
9000 W SURA LN
GREENFIELD, WI 53228
Milwaukee County (833) 528-7672
MADISON ELIZABETH COADY PT
Physical Therapist
9000 W SURA LN
GREENFIELD, WI 53228
Milwaukee County (414) 246-6800
SAMANTHA HILT
Pharmacist
9000 W SURA LN
GREENFIELD, WI 53228
Milwaukee County (414) 246-6700
MRS. LAURA CHRISTINE SOCHA OTR
Occupational Therapist
9000 W SURA LN
GREENFIELD, WI 53228
Milwaukee County (414) 246-6800
KELLY J HERBST-FRAILING MPT
Physical Therapist
9000 W SURA LN
GREENFIELD, WI 53228
Milwaukee County (414) 246-6800
JACQUELYN C KUZMINSKI MD
Pediatrics
9000 W SURA LN
GREENFIELD, WI 53228
Milwaukee County (414) 246-6800
MS. CAROLINE IRENE UTTECH PT
Physical Therapist
9000 W SURA LN
GREENFIELD, WI 53228
Milwaukee County (414) 246-6500

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 Kelly Liebergen's NPI number?

The NPI number for Kelly Liebergen is 1063062271. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Where is Kelly Liebergen located?

Kelly Liebergen practices at 9000 W Sura Ln, Greenfield, WI 53228. The listed phone number is (414) 246-6800.

What is Kelly Liebergen's specialty?

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

Is Kelly Liebergen enrolled in Medicare?

Yes. Kelly Liebergen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Liebergen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Liebergen reassigns Medicare benefits to Aurora Medical Group, Inc. (West Allis, WI). 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 Kelly Liebergen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Liebergen accept?

Health plans from CareSource (Common Ground Healthcare), Quartz and UnitedHealthcare list Kelly Liebergen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Liebergen was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.