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AVERY KAUMEYER CCC-SLP
NPI 1356205058
Speech-Language Pathologist in Janesville, WI

Active since December 16, 2025
101 E MILWAUKEE ST STE 507, JANESVILLE, WI 53545(608) 728-7774(608) 621-3804 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Avery Kaumeyer Ccc-slp NPPES

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

AVERY KAUMEYER CCC-SLP (NPI 1356205058) is an individual speech-language pathologist provider in Janesville, Wisconsin, licensed in Wisconsin (7218-154) and active in the NPI registry since December 2025. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1356205058
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameAVERY KAUMEYERCredential: CCC-SLP
Location Address101 E MILWAUKEE ST STE 507Janesville, WI 53545-3004
Mailing Address101 E Milwaukee St Ste 507Janesville, WI 53545-3004 · (608) 728-7774 · Fax (608) 621-3804
Phone(608) 728-7774
Fax(608) 621-3804
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
✔ NPI 1356205058 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 · 7218-154
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.
101 E MILWAUKEE ST STE 507, Janesville, WI 53545
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare, MercyCare Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avery Kaumeyer Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577059427
PECOS Enrollment IDI20251231000532

Medicare Billing Reassignment

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

Marigold Speech Pathology Services, LLC
Same address
Speech-Language Pathologist
101 E MILWAUKEE ST STE 600
Janesville, WI 53545
  • Reassigned Medicare billing, Wisconsin enrollment
  • 11 clinicians in this Medicare group
NPI 1568153997 (608) 728-7774

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 4

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

ANNIKA GILL CCC-SLP
Speech-Language Pathologist
101 E MILWAUKEE ST STE 507
JANESVILLE, WI 53545
Rock County (608) 728-7774
SANTIAGO SANCHEZ JR. SLP
Speech-Language Pathologist
101 E MILWAUKEE ST STE 507
JANESVILLE, WI 53545
Rock County (608) 728-7774
PAYTON SHEIL
Speech-Language Pathologist
101 E MILWAUKEE ST STE 507
JANESVILLE, WI 53545
Rock County (608) 728-7774
MARIN STAUFFACHER COTA
Occupational Therapy Assistant
101 E MILWAUKEE ST STE 507
JANESVILLE, WI 53545
Rock County (608) 728-7774

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 Avery Kaumeyer's NPI number?

The NPI number for Avery Kaumeyer is 1356205058. It was assigned to this individual provider in the NPPES registry on December 16, 2025.

Where is Avery Kaumeyer located?

Avery Kaumeyer practices at 101 E Milwaukee St Ste 507, Janesville, WI 53545. The listed phone number is (608) 728-7774.

What is Avery Kaumeyer's specialty?

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

Is Avery Kaumeyer enrolled in Medicare?

Yes. Avery Kaumeyer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Avery Kaumeyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Avery Kaumeyer reassigns Medicare benefits to Marigold Speech Pathology Services, LLC (Janesville, 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 Avery Kaumeyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Avery Kaumeyer accept?

Health plans from MercyCare and MercyCare Health Plans list Avery Kaumeyer 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 Avery Kaumeyer was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.