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KINSLEY SARA HACKMAN SLP
NPI 1457936627
Speech-Language Pathologist in Wabasha, MN

Active since March 10, 2021
1200 GRANT BLVD W, WABASHA, MN 55981(651) 565-5558 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kinsley Sara Hackman Slp NPPES

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

KINSLEY SARA HACKMAN SLP (NPI 1457936627) is an individual speech-language pathologist provider in Wabasha, Minnesota, licensed in Minnesota (10586) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1457936627
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKINSLEY SARA HACKMANCredential: SLP
Location Address1200 GRANT BLVD WWabasha, MN 55981-1042
Mailing Address1200 Grant Blvd WWabasha, MN 55981-1042 · (651) 565-4531
Phone(651) 565-5558
Sole ProprietorNo
Enumeration DateMarch 10, 2021
NPPES CertifiedMarch 9, 2021
✔ NPI 1457936627 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 MN · 10586
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.
1200 GRANT BLVD W, Wabasha, MN 55981
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kinsley Sara Hackman Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Divine Savior Healthcare, Inc.
141 mi
General Acute Care Hospital
2817 NEW PINERY RD
Portage, WI 53901
  • Reassigned Medicare billing, Wisconsin enrollment
  • 359 clinicians in this Medicare group
NPI 1124083894 (608) 742-4131

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.

KURT L HENN PHARMD
Pharmacist
1200 GRANT BLVD W
WABASHA, MN 55981
Wabasha County (651) 565-5562
JONATHAN PETERSON M.D.
Psychiatry & Neurology (Geriatric Psychiatry)
1200 GRANT BLVD W
WABASHA, MN 55981
Wabasha County (651) 565-5908
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Home Health
1200 GRANT BLVD W
WABASHA, MN 55981
Wabasha County (651) 565-4531
MATTHEW WAGNER NP
Nurse Practitioner (Family)
1200 GRANT BLVD W
WABASHA, MN 55981
Wabasha County (651) 565-5600
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Clinic/Center
1200 GRANT BLVD W
WABASHA, MN 55981
Wabasha County (651) 565-4531
ALLISON HART BEITO MD
Psychiatry & Neurology (Psychiatry)
1200 GRANT BLVD W
WABASHA, MN 55981
Wabasha County (651) 565-4531
ELIZABETH NOFSINGER DPT
Physical Therapist
1200 GRANT BLVD W
WABASHA, MN 55981
Wabasha County (651) 565-4531
MARLENE KOSOBUCKI PT
Physical Therapist
1200 GRANT BLVD W
WABASHA, MN 55981
Wabasha County (651) 565-4531

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 Kinsley Hackman's NPI number?

The NPI number for Kinsley Hackman is 1457936627. It was assigned to this individual provider in the NPPES registry on March 10, 2021.

Where is Kinsley Hackman located?

Kinsley Hackman practices at 1200 Grant Blvd W, Wabasha, MN 55981. The listed phone number is (651) 565-5558.

What is Kinsley Hackman's specialty?

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

Is Kinsley Hackman enrolled in Medicare?

Yes. Kinsley Hackman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kinsley Hackman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kinsley Hackman reassigns Medicare benefits to Divine Savior Healthcare, Inc. (Portage, 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 Kinsley Hackman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kinsley Hackman accept?

Health plans from Anthem Blue Cross and Blue Shield and Group Health Cooperative-SCW list Kinsley Hackman 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 Kinsley Hackman was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.