KYLE SHEA
NPI 1285019422
Speech-Language Pathologist in Glenwood City, WI

Active since July 29, 2015
612 E OAK ST, GLENWOOD CITY, WI 54013(715) 265-4325 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kyle Shea NPPES

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

KYLE SHEA (NPI 1285019422) is an individual speech-language pathologist provider in Glenwood City, Wisconsin, licensed in Wisconsin (4153-154) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1285019422
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameKYLE SHEA
Location Address612 E OAK STGlenwood City, WI 54013-8520
Mailing Address2510 W Princeton AveEau Claire, WI 54703-3784 · (715) 379-6323
Sole ProprietorYes
Enumeration DateJuly 29, 2015
✔ NPI 1285019422 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 WI · 4153-154
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.
612 E OAK ST, Glenwood City, WI 54013

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignments

2

Medicare enrollment records show Kyle Shea reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
2441 NEW PINE DR
Altoona, WI 54720
  • Reassigned Medicare billing, Wisconsin enrollment
  • 13 clinicians in this Medicare group
Physical Therapist
W180N7890 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 96 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 6

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

Occupational Therapist
612 E OAK ST
GLENWOOD CITY, WI 54013
Occupational Therapy Assistant
612 E OAK ST
GLENWOOD CITY, WI 54013
Skilled Nursing Facility
612 E OAK ST
GLENWOOD CITY, WI 54013
Physical Therapy Assistant
612 E OAK ST
GLENWOOD CITY, WI 54013
Occupational Therapy Assistant
612 E OAK ST
GLENWOOD CITY, WI 54013
Physical Therapy Assistant
612 E OAK ST
GLENWOOD CITY, WI 54013

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 Kyle Shea's NPI number?

The NPI number for Kyle Shea is 1285019422. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Where is Kyle Shea located?

Kyle Shea practices at 612 E Oak St, Glenwood City, WI 54013. The listed phone number is (715) 265-4325.

What is Kyle Shea's specialty?

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

Is Kyle Shea enrolled in Medicare?

Yes. Kyle Shea is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kyle Shea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Shea reassigns Medicare benefits to 2 organizations: Grace Lutheran Foundation, Inc (Altoona, WI) and Paxxon Healthcare Services LLC (Menomonee Falls, WI). Each 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 Kyle Shea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Shea accept?

Health plans from UnitedHealthcare list Kyle Shea 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 Kyle Shea was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.