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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACI LYNN PENNYBAKER M.A.
NPI 1205267226
Speech-Language Pathologist in Charlotte, NC

Active since December 01, 2013
3315 SPRINGBANK LN STE 206, CHARLOTTE, NC 28226(704) 847-0186 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Nov 28, 2022 (2 updates tracked since 2022).

About Staci Lynn Pennybaker M.a. NPPES

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

STACI LYNN PENNYBAKER M.A. (NPI 1205267226) is an individual speech-language pathologist provider in Charlotte, North Carolina, licensed in North Carolina (10626) and active in the NPI registry since December 2013. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1205267226
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSTACI LYNN PENNYBAKERCredential: M.A.
Location Address3315 SPRINGBANK LN STE 206Charlotte, NC 28226-3198
Mailing Address3315 Springbank Ln Ste 206Charlotte, NC 28226-3198 · (704) 847-0186
Phone(704) 847-0186
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 1, 2013
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1205267226 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 · 10626
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.
3315 SPRINGBANK LN STE 206, Charlotte, NC 28226
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Staci Lynn Pennybaker M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183184807
PECOS Enrollment IDI20260902000710

Medicare Billing Reassignment

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

Expressable Speech-Language Pathology, P.C.
1,040 mi
Speech-Language Pathologist
3800 N LAMAR BLVD STE 200
Austin, TX 78756
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Expressable Speech-Language Pathology PC
  • 121 clinicians in this Medicare group
NPI 1649875857 (512) 377-6318

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 5

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

THRIVE PEDIATRIC THERAPY, PLLC
Clinic/Center
3315 SPRINGBANK LN STE 206
CHARLOTTE, NC 28226
Mecklenburg County (704) 301-2894
CAITLIN SCHNEIDERMAN
Speech-Language Pathologist
3315 SPRINGBANK LN STE 206
CHARLOTTE, NC 28226
Mecklenburg County (704) 847-0186
KATELIN ESPOSITO OTR/L
Occupational Therapist (Pediatrics)
3315 SPRINGBANK LN STE 206
CHARLOTTE, NC 28226
Mecklenburg County (704) 847-0186
REBECCA WHITE
Speech-Language Pathologist
3315 SPRINGBANK LN STE 206
CHARLOTTE, NC 28226
Mecklenburg County (704) 847-0186
MARY ANGELA WALL SLP
Speech-Language Pathologist
3315 SPRINGBANK LN STE 206
CHARLOTTE, NC 28226
Mecklenburg County (704) 847-0186

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 Staci Pennybaker's NPI number?

The NPI number for Staci Pennybaker is 1205267226. It was assigned to this individual provider in the NPPES registry on December 1, 2013.

Where is Staci Pennybaker located?

Staci Pennybaker practices at 3315 Springbank Ln Ste 206, Charlotte, NC 28226. The listed phone number is (704) 847-0186.

What is Staci Pennybaker's specialty?

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

Is Staci Pennybaker enrolled in Medicare?

Yes. Staci Pennybaker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Staci Pennybaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Staci Pennybaker reassigns Medicare benefits to Expressable Speech-Language Pathology, P.C. (Austin, TX). 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 Staci Pennybaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Staci Pennybaker accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Blue Cross and Blue Shield of NC list Staci Pennybaker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Staci Pennybaker was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.