MS. CANDACE BAUMGART IBBOTSON
NPI 1083833560
Speech-Language Pathologist in Corpus Christi, TX
About Ms. Candace Baumgart Ibbotson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CANDACE BAUMGART IBBOTSON (NPI 1083833560) is an individual speech-language pathologist provider in Corpus Christi, Texas, licensed in Texas (14287) and active in the NPI registry since April 2007.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Candace Baumgart Ibbotson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Candace Ibbotson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Charles, LA 70601
- Reassigned Medicare billing, Texas enrollment
- 145 clinicians in this Medicare group
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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORPUS CHRISTI, TX 78404
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 Candace Ibbotson's NPI number?
The NPI number for Candace Ibbotson is 1083833560. It was assigned to this individual provider in the NPPES registry on April 24, 2007.
Where is Candace Ibbotson located?
Candace Ibbotson practices at 600 Elizabeth Street, Corpus Christi, TX 78404. The listed phone number is (361) 881-3518.
What is Candace Ibbotson's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Candace Ibbotson enrolled in Medicare?
Yes. Candace Ibbotson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Candace Ibbotson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Candace Ibbotson reassigns Medicare benefits to Synergy Care Southeast, LLC (Lake Charles, LA). 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 Candace Ibbotson'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 Candace Ibbotson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Ms. Candace Baumgart Ibbotson · NPI 1083833560
Speech-Language Pathologist provider in Corpus Christi, Texas. Individual provider, active in the CMS NPPES registry since April 24, 2007.
## Identity
- **NPI:** 1083833560 (Entity type: Individual)
- **Enumerated:** April 24, 2007
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 14287 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 ELIZABETH STREET, Corpus Christi, TX 78404
- **Phone:** (361) 881-3518
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Synergy Care Southeast, LLC (NPI 1427466614, Lake Charles, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1083833560) · Data from the CMS NPPES public registry.