EMILY JOSEPHINE BULOW MS CCC-SLP
NPI 1225707011
Speech-Language Pathologist in Omro, WI
About Emily Josephine Bulow Ms Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY JOSEPHINE BULOW MS CCC-SLP (NPI 1225707011) is an individual speech-language pathologist provider in Omro, Wisconsin, licensed in Wisconsin (5345-154) and active in the NPI registry since September 2021.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emily Josephine Bulow Ms Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Emily Bulow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Deforest, WI 53532
- Reassigned Medicare billing, Wisconsin enrollment
- 66 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OMRO, WI 54963
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 Emily Bulow's NPI number?
The NPI number for Emily Bulow is 1225707011. It was assigned to this individual provider in the NPPES registry on September 7, 2021. The provider is also known as Emily Josephine Golueke Ms Ccc-Slp.
Where is Emily Bulow located?
Emily Bulow practices at 500 Grant Ave, Omro, WI 54963. The listed phone number is (920) 685-2755.
What is Emily Bulow's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Emily Bulow enrolled in Medicare?
Yes. Emily Bulow is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Emily Bulow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emily Bulow reassigns Medicare benefits to Sundance Rehabilitation LLC (Deforest, WI). 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 Emily Bulow'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 Emily Bulow was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Emily Josephine Bulow, MS CCC-SLP · NPI 1225707011
Speech-Language Pathologist provider in Omro, Wisconsin. Individual provider, active in the CMS NPPES registry since September 7, 2021.
## Identity
- **NPI:** 1225707011 (Entity type: Individual)
- **Enumerated:** September 7, 2021
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 5345-154 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 GRANT AVE, Omro, WI 54963-1342
- **Phone:** (920) 685-2755
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Sundance Rehabilitation LLC (NPI 1073912119, Deforest, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1225707011) · Data from the CMS NPPES public registry.