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MRS. JACKLYN SARAH RENDFREY M.S. CCC-SLP
NPI 1376883165
Speech-Language Pathologist in Atco, NJ

Active since February 15, 2013Accepts Medicare Assignment
12 WINDINGBROOK DR, ATCO, NJ 08004(856) 767-2903 Get Directions Write a Review

NPPES record last updated: February 15, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Jacklyn Sarah Rendfrey M.s. Ccc-slp NPPES

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

MRS. JACKLYN SARAH RENDFREY M.S. CCC-SLP (NPI 1376883165) is an individual speech-language pathologist provider in Atco, New Jersey, licensed in New Jersey (41YS00717400) and active in the NPI registry since February 2013. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1376883165
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. JACKLYN SARAH RENDFREYCredential: M.S. CCC-SLP
Location Address12 WINDINGBROOK DRAtco, NJ 08004-2902
Mailing Address12 Windingbrook DrAtco, NJ 08004-2902 · (856) 767-2903
Phone(856) 767-2903
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 15, 2013
✔ NPI 1376883165 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 NJ · 41YS00717400
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.
12 WINDINGBROOK DR, Atco, NJ 08004
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jacklyn Sarah Rendfrey M.s. Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678098704
PECOS Enrollment IDI20250422000120

Medicare Billing Reassignment

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

Advanced Spine And Pain, LLC
11 mi
Interventional Pain Medicine
1400 ROUTE 70 E
Cherry Hill, NJ 08034
  • Reassigned Medicare billing, New Jersey enrollment
  • 39 clinicians in this Medicare group
NPI 1407002124 (888) 985-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jacklyn Rendfrey's NPI number?

The NPI number for Jacklyn Rendfrey is 1376883165. It was assigned to this individual provider in the NPPES registry on February 15, 2013.

Where is Jacklyn Rendfrey located?

Jacklyn Rendfrey practices at 12 Windingbrook Dr, Atco, NJ 08004. The listed phone number is (856) 767-2903.

What is Jacklyn Rendfrey's specialty?

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

Is Jacklyn Rendfrey enrolled in Medicare?

Yes. Jacklyn Rendfrey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jacklyn Rendfrey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacklyn Rendfrey reassigns Medicare benefits to Advanced Spine And Pain, LLC (Cherry Hill, NJ). 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 Jacklyn Rendfrey'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 Jacklyn Rendfrey was last updated on February 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.