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ANNAMARIE MEDERNACH MS CCC-SLP
NPI 1245191063
Speech-Language Pathologist in Indianapolis, IN

Active since November 20, 2025
1250 E MARKET ST, INDIANAPOLIS, IN 46202(317) 226-4214 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Annamarie Medernach Ms Ccc-slp NPPES

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

ANNAMARIE MEDERNACH MS CCC-SLP (NPI 1245191063) is an individual speech-language pathologist provider in Indianapolis, Indiana, licensed in Indiana (22009065A) and active in the NPI registry since November 2025. She maintains 2 additional practice locations and is a graduate of Saint Louis University School Of Medicine (2023).

NPPES Registry Identity

NPI1245191063
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANNAMARIE MEDERNACHCredential: MS CCC-SLP
Location Address1250 E MARKET STIndianapolis, IN 46202-3831
Mailing Address120 E Walnut StIndianapolis, IN 46204-1312
Phone(317) 226-4214
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 2023
Enumeration DateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1245191063 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 IN · 22009065A
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.
1250 E MARKET ST, Indianapolis, IN 46202
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Secondary Practice Locations 2

Location 12302 E Michigan StIndianapolis, IN 46201-3112 · Phone (317) 226-4215
Location 2120 E Walnut StIndianapolis, IN 46204-1312 · Phone (317) 226-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annamarie Medernach Ms Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022589241
PECOS Enrollment IDI20260608003826

Other Providers at the Same Location NPPES 2

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

URBAN ACT ACADEMY
Clinic/Center (Mental Health (Including Community Mental Health Center))
1250 E MARKET ST
INDIANAPOLIS, IN 46202
Marion County (317) 226-4214
BROOKE LAUREN BURKE M.S. CCC-SLP
Speech-Language Pathologist
1250 E MARKET ST
INDIANAPOLIS, IN 46202
Marion County (317) 226-4214

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 Annamarie Medernach's NPI number?

The NPI number for Annamarie Medernach is 1245191063. It was assigned to this individual provider in the NPPES registry on November 20, 2025.

Where is Annamarie Medernach located?

Annamarie Medernach practices at 1250 E Market St, Indianapolis, IN 46202. The listed phone number is (317) 226-4214.

What is Annamarie Medernach's specialty?

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

Is Annamarie Medernach enrolled in Medicare?

Yes. Annamarie Medernach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Annamarie Medernach was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.