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MARY PEARL
NPI 1396357885
Speech-Language Pathologist in Springfield, MO

Active since August 18, 2020
440 E TAMPA ST, SPRINGFIELD, MO 65806(417) 831-0150 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 21, 2021, Aug 18, 2020 (2 updates tracked since 2020).

About Mary Pearl NPPES

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

MARY PEARL (NPI 1396357885) is an individual speech-language pathologist provider in Springfield, Missouri, licensed in Missouri (2026015565) and active in the NPI registry since August 2020. She maintains a secondary practice location in Springfield and is a graduate of Other (2018).

NPPES Registry Identity

NPI1396357885
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY PEARL
Location Address440 E TAMPA STSpringfield, MO 65806-1131
Mailing Address440 E Tampa StSpringfield, MO 65806-1131 · (417) 831-0150
Phone(417) 831-0150
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 18, 2020
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1396357885 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 MO · 2026015565
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.
440 E TAMPA ST, Springfield, MO 65806
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Secondary Practice Location 1

Location 11720 W Grand St Ste BSpringfield, MO 65802-4802 · Phone (417) 831-0150

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3577033463
PECOS Enrollment IDI20260601003778

Medicare Billing Reassignment

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

Advocates For A Healthy Community, Inc
Same address
Federally Qualified Health Center (FQHC)
440 E TAMPA ST
Springfield, MO 65806
  • Reassigned Medicare billing, Missouri enrollment
  • 182 clinicians in this Medicare group
NPI 1558303057 (417) 831-0150

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 20

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

ADVOCATES FOR A HEALTHY COMMUNITY
Pharmacy (Community/Retail Pharmacy)
440 E TAMPA ST
SPRINGFIELD, MO 65806
Greene County (417) 831-0150
AMBER D GREEK RDH
Dental Hygienist
440 E TAMPA ST
SPRINGFIELD, MO 65806
Greene County (417) 831-0150
LISA MCEVOY DDS
Dentist
440 E TAMPA ST
SPRINGFIELD, MO 65806
Greene County (417) 851-1589
COURTNEY J ESTES PA
Physician Assistant
440 E TAMPA ST
SPRINGFIELD, MO 65806
Greene County (417) 851-1551
DR. JARED CHRISTENSEN D.D.S.
Student in an Organized Health Care Education/Training Program
440 E TAMPA ST
SPRINGFIELD, MO 65806
Greene County (417) 831-0150
ZEESHAN ALI KHAN MD
Student in an Organized Health Care Education/Training Program
440 E TAMPA ST
SPRINGFIELD, MO 65806
Greene County (417) 831-0150
DR. ASHLEY NICOLE POPEJOY DDS
Dentist (Pediatric Dentistry)
440 E TAMPA ST
SPRINGFIELD, MO 65806
Greene County (417) 831-0150
KRISTY BAUGH RDH
Dental Hygienist
440 E TAMPA ST
SPRINGFIELD, MO 65806
Greene County (417) 831-0150

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 Mary Pearl's NPI number?

The NPI number for Mary Pearl is 1396357885. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Mary Pearl located?

Mary Pearl practices at 440 E Tampa St, Springfield, MO 65806. The listed phone number is (417) 831-0150.

What is Mary Pearl's specialty?

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

Is Mary Pearl enrolled in Medicare?

Yes. Mary Pearl is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Pearl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Pearl reassigns Medicare benefits to Advocates For A Healthy Community, Inc (Springfield, MO). 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 Mary Pearl'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 Mary Pearl was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.