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JESSICA NICOLE POLLIHAN M.S. CCC- SLP
NPI 1417788258
Speech-Language Pathologist in Washington, MO

Active since August 13, 2024
1481 MARBACH DR, WASHINGTON, MO 63090(163) 639-2402 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2026, Aug 13, 2024 (2 updates tracked since 2024).

About Jessica Nicole Pollihan M.s. Ccc- Slp NPPES

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

JESSICA NICOLE POLLIHAN M.S. CCC- SLP (NPI 1417788258) is an individual speech-language pathologist provider in Washington, Missouri and active in the NPI registry since August 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1417788258
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJESSICA NICOLE POLLIHANCredential: M.S. CCC- SLP
Location Address1481 MARBACH DRWashington, MO 63090-4636
Mailing Address3212 Ringer RdSaint Louis, MO 63125-5539
Phone(163) 639-2402
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 13, 2024
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1417788258 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
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.
1481 MARBACH DR, Washington, MO 63090
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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 (PECOS)

Jessica Nicole Pollihan M.s. Ccc- Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385102805
PECOS Enrollment IDI20260814003931

Medicare Billing Reassignment

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

Legacy Healthcare Services Inc.
Same address
Physical Therapist
1481 MARBACH DR
Washington, MO 63090
  • Reassigned Medicare billing, Missouri enrollment
  • 73 clinicians in this Medicare group
NPI 1407487366 (855) 239-3467

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 5

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

EMMALEE WILLIMANN PTA
Physical Therapy Assistant
1481 MARBACH DR
WASHINGTON, MO 63090
Franklin County (636) 239-1941
LEGACY HEALTHCARE SERVICES INC.
Physical Therapist
1481 MARBACH DR
WASHINGTON, MO 63090
Franklin County (855) 239-3467
ANGIE BEIER LPTA
Physical Therapy Assistant
1481 MARBACH DR
WASHINGTON, MO 63090
Franklin County (573) 259-5437
JILL GRGURICH
Occupational Therapy Assistant
1481 MARBACH DR
WASHINGTON, MO 63090
Franklin County (636) 239-1941
MRS. RACHEL L PAYNE PTA
Physical Therapy Assistant
1481 MARBACH DR
WASHINGTON, MO 63090
Franklin County (636) 295-3383

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 Jessica Pollihan's NPI number?

The NPI number for Jessica Pollihan is 1417788258. It was assigned to this individual provider in the NPPES registry on August 13, 2024.

Where is Jessica Pollihan located?

Jessica Pollihan practices at 1481 Marbach Dr, Washington, MO 63090. The listed phone number is (163) 639-2402.

What is Jessica Pollihan's specialty?

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

Is Jessica Pollihan enrolled in Medicare?

Yes. Jessica Pollihan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Pollihan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Pollihan reassigns Medicare benefits to Legacy Healthcare Services Inc. (Washington, 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 Jessica Pollihan'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 Jessica Pollihan was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.