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MRS. KIMMY SHIN ELLER MS, CCC-SLP
NPI 1104032523
Speech-Language Pathologist in Norfolk, VA

Active since May 15, 2007Accepts Medicare Assignment
601 CHILDRENS LN, NORFOLK, VA 23507(757) 668-6589 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Kimmy Shin Eller Ms, Ccc-slp NPPES

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

MRS. KIMMY SHIN ELLER MS, CCC-SLP (NPI 1104032523) is an individual speech-language pathologist provider in Norfolk, Virginia, licensed in Virginia (2202004900) and active in the NPI registry since May 2007. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1104032523
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. KIMMY SHIN ELLERCredential: MS, CCC-SLP
Location Address601 CHILDRENS LNNorfolk, VA 23507-1910
Mailing Address1100 Lord Dunmore DrVirginia Beach, VA 23464-5446
Phone(757) 668-6589
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104032523 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 VA · 2202004900
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.
601 CHILDRENS LN, Norfolk, VA 23507
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Other Names 1

Former Name (1)Kimmy Shin Zink Ms, Ccc-slp

Other Identifiers 1

Other12051459VA · Asha Certified Member

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

Mrs. Kimmy Shin Eller Ms, Ccc-slp 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 ID9032676184
PECOS Enrollment IDI20260807003154

Medicare Billing Reassignment

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

Cortex Initiative LLC
12 mi
Speech-Language Pathologist
1457 MOUNT PLEASANT RD STE 103
Chesapeake, VA 23322
  • Reassigned Medicare billing, Virginia enrollment
  • 8 clinicians in this Medicare group
NPI 1538760491 (757) 780-8146

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.

BELINDA JAMES-PETERSEN CPNP
Nurse Practitioner (Pediatrics)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7240
KELLY PATINO TREJO LCSW
Social Worker (Clinical)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7931
ALIYAH RAYHANAH MOHAMMED MD
Student in an Organized Health Care Education/Training Program
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7000
SWETHA MORA M.B.B.S
Student in an Organized Health Care Education/Training Program
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7272
KACIE DENISE CARTER CPNP
Nurse Practitioner (Pediatrics)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-8796
PETER M DOZIER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-8866
STEPHEN C. RESTAINO DO
Pediatrics
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7179
MICHAEL LEE SMITH M.D.
Pediatrics
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7456

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 Kimmy Eller's NPI number?

The NPI number for Kimmy Eller is 1104032523. It was assigned to this individual provider in the NPPES registry on May 15, 2007. The provider is also known as Kimmy Shin Zink Ms, Ccc-Slp.

Where is Kimmy Eller located?

Kimmy Eller practices at 601 Childrens Ln, Norfolk, VA 23507. The listed phone number is (757) 668-6589.

What is Kimmy Eller's specialty?

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

Is Kimmy Eller enrolled in Medicare?

Yes. Kimmy Eller 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 Kimmy Eller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimmy Eller reassigns Medicare benefits to Cortex Initiative LLC (Chesapeake, VA). 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 Kimmy Eller'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 Kimmy Eller 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.