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MRS. JILL AXTELL M.S., CCC-SLP
NPI 1174742175
Speech-Language Pathologist in Anaheim, CA

Active since April 25, 2007Accepts Medicare Assignment
411 N LAKEVIEW AVE, ANAHEIM, CA 92807(714) 279-4125 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Jill Axtell M.s., Ccc-slp NPPES

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

MRS. JILL AXTELL M.S., CCC-SLP (NPI 1174742175) is an individual speech-language pathologist provider in Anaheim, California, licensed in California (12251) and active in the NPI registry since April 2007. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1174742175
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. JILL AXTELLCredential: M.S., CCC-SLP
Location Address411 N LAKEVIEW AVEAnaheim, CA 92807-3028
Mailing Address17982 Prado CirVilla Park, CA 92861-4508 · (714) 279-4125
Phone(714) 279-4125
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 25, 2007
Last NPPES UpdateDecember 1, 2021
✔ NPI 1174742175 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 CA · 12251
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.
411 N LAKEVIEW AVE, Anaheim, CA 92807
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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 and accepts Medicare assignment

Mrs. Jill Axtell M.s., 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 ID3072645902
PECOS Enrollment IDI20100713000267

Medicare Billing Reassignment

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

Southern California Permanente Medical Group
0.1 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000

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.

DR. LAN-PHUONG NGUYEN PHARM.D.
Pharmacist
411 N LAKEVIEW AVE, KAISER PERMANENTE ANTICOAGULATION SERVICE
ANAHEIM, CA 92807
Orange County (714) 279-5403
DR. PARKE KING CHANG MD
Internal Medicine (Rheumatology)
411 N LAKEVIEW AVE
ANAHEIM, CA 92807
Orange County (888) 988-2800
VERA M MATTHEWS LCSW
Social Worker (Clinical)
411 N LAKEVIEW AVE
ANAHEIM, CA 92807
Orange County (888) 988-2800
DONNA K DUANE MFT
Marriage & Family Therapist
411 N LAKEVIEW AVE
ANAHEIM, CA 92807
Orange County (888) 988-2800
DR. CHARLES D KENYON MD
Internal Medicine (Rheumatology)
411 N LAKEVIEW AVE
ANAHEIM, CA 92807
Orange County (714) 279-5449
ELIZA H CHO PT
Physical Therapist
411 N LAKEVIEW AVE
ANAHEIM, CA 92807
Orange County (714) 748-6166
DR. CLIFFORD LANCE CLINTON M.D.
Family Medicine
411 N LAKEVIEW AVE
ANAHEIM, CA 92807
Orange County (888) 988-2800
MS. ANN THUY-ANH NGUYEN PHARM.D.
Pharmacist
411 N LAKEVIEW AVE
ANAHEIM, CA 92807
Orange County (714) 279-5403

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 Jill Axtell's NPI number?

The NPI number for Jill Axtell is 1174742175. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Jill Axtell located?

Jill Axtell practices at 411 N Lakeview Ave, Anaheim, CA 92807. The listed phone number is (714) 279-4125.

What is Jill Axtell's specialty?

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

Is Jill Axtell enrolled in Medicare?

Yes. Jill Axtell 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 Jill Axtell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Axtell reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). 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 Jill Axtell'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 Jill Axtell was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.