KAYLEN WHETSTONE CCC-SLP
NPI 1104089929
Speech-Language Pathologist in Lino Lakes, MN
About Kaylen Whetstone Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAYLEN WHETSTONE CCC-SLP (NPI 1104089929) is an individual speech-language pathologist provider in Lino Lakes, Minnesota, licensed in Minnesota (8361) and active in the NPI registry since July 2008.
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)
Kaylen Whetstone Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kaylen Whetstone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lino Lakes, MN 55014
- Reassigned Medicare billing, Minnesota enrollment
- 15 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LINO LAKES, MN 55014
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 Kaylen Whetstone's NPI number?
The NPI number for Kaylen Whetstone is 1104089929. It was assigned to this individual provider in the NPPES registry on July 2, 2008.
Where is Kaylen Whetstone located?
Kaylen Whetstone practices at 6776 Lake Dr 220, Lino Lakes, MN 55014. The listed phone number is (651) 784-7007.
What is Kaylen Whetstone's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Kaylen Whetstone enrolled in Medicare?
Yes. Kaylen Whetstone is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kaylen Whetstone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaylen Whetstone reassigns Medicare benefits to Advance Speech Therapy, LLC (Lino Lakes, 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 Kaylen Whetstone'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 Kaylen Whetstone was last updated on November 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kaylen Whetstone, CCC-SLP · NPI 1104089929
Speech-Language Pathologist provider in Lino Lakes, Minnesota. Individual provider, active in the CMS NPPES registry since July 2, 2008.
## Identity
- **NPI:** 1104089929 (Entity type: Individual)
- **Enumerated:** July 2, 2008
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 8361 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6776 LAKE DR, 220, Lino Lakes, MN 55014-1191
- **Phone:** (651) 784-7007 · **Fax:** (651) 784-7992
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Advance Speech Therapy, LLC (NPI 1215144654, Lino Lakes, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 25, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1104089929) · Data from the CMS NPPES public registry.