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KATELYN ANDRE
NPI 1144065822
Speech-Language Pathologist in Wake Forest, NC

Active since June 26, 2024
900 S FRANKLIN ST STE 201, WAKE FOREST, NC 27587(919) 556-1700 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2025, Jun 28, 2024 (2 updates tracked since 2024).

About Katelyn Andre NPPES

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

KATELYN ANDRE (NPI 1144065822) is an individual speech-language pathologist provider in Wake Forest, North Carolina, licensed in North Carolina (30003870) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1144065822
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKATELYN ANDRE
Location Address900 S FRANKLIN ST STE 201Wake Forest, NC 27587-2799
Mailing Address625 Kenmoor Ave Se Ste 100Grand Rapids, MI 49546-2395
Phone(919) 556-1700
Sole ProprietorNo
Enumeration DateJune 26, 2024
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1144065822 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 NC · 30003870
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.
900 S FRANKLIN ST STE 201, Wake Forest, NC 27587
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Andre is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Peak Performance Sports And Physical Therapy, LLC
100 mi
Physical Therapist
2009 NEUSE BLVD
New Bern, NC 28560
  • Reassigned Medicare billing, North Carolina enrollment
  • 70 clinicians in this Medicare group
NPI 1194714063 (252) 636-9800

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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA ABBOTT OTR/L
Occupational Therapist
900 S FRANKLIN ST STE 201
WAKE FOREST, NC 27587
Wake County (919) 556-1700
KAITLYN SCHAFER OTR/L
Occupational Therapist
900 S FRANKLIN ST STE 201
WAKE FOREST, NC 27587
Wake County (919) 556-1245
MRS. JENNIFER ANNE LANE LEHR M.S. CCC-SLP
Speech-Language Pathologist
900 S FRANKLIN ST STE 201
WAKE FOREST, NC 27587
Wake County (919) 556-1700
ALEXIS BELLACERA OTR
Occupational Therapist
900 S FRANKLIN ST STE 201
WAKE FOREST, NC 27587
Wake County (919) 556-1700
DR. RACHEL LAUREL DAVIS PT, DPT
Physical Therapist
900 S FRANKLIN ST STE 201
WAKE FOREST, NC 27587
Wake County (984) 235-6101
MIKAYLI KANAE OTR/L
Occupational Therapist
900 S FRANKLIN ST STE 201
WAKE FOREST, NC 27587
Wake County (919) 556-1700
NICOLE BERTOLINO BOURNE OTR/L
Occupational Therapist
900 S FRANKLIN ST STE 201
WAKE FOREST, NC 27587
Wake County (973) 567-1913
CAMRYN BROOKE MCCLURE
Occupational Therapist
900 S FRANKLIN ST STE 201
WAKE FOREST, NC 27587
Wake County (919) 556-1700

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 Katelyn Andre's NPI number?

The NPI number for Katelyn Andre is 1144065822. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Katelyn Andre located?

Katelyn Andre practices at 900 S Franklin St Ste 201, Wake Forest, NC 27587. The listed phone number is (919) 556-1700.

What is Katelyn Andre's specialty?

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

Is Katelyn Andre enrolled in Medicare?

Yes. Katelyn Andre is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katelyn Andre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Andre reassigns Medicare benefits to Peak Performance Sports And Physical Therapy, LLC (New Bern, NC). 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 Katelyn Andre'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 Katelyn Andre was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.