MARIANGELY RAMPOLLA FORMBY M.S, CCC-SLP
NPI 1467297192
Speech-Language Pathologist in Sun City Center, FL

Active since June 25, 2024Accepts Medicare Assignment
105 TRINITY LAKES DR, SUN CITY CENTER, FL 33573(813) 634-3324 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 31, 2025, Jul 3, 2024, Jun 25, 2024 (3 updates tracked since 2024).

About Mariangely Rampolla Formby M.s, Ccc-slp NPPES

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

MARIANGELY RAMPOLLA FORMBY M.S, CCC-SLP (NPI 1467297192) is an individual speech-language pathologist provider in Sun City Center, Florida, licensed in Florida (SA21752) and active in the NPI registry since June 2024. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1467297192
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARIANGELY RAMPOLLA FORMBYCredential: M.S, CCC-SLP
Location Address105 TRINITY LAKES DRSun City Center, FL 33573-5728
Mailing Address16540 Myrtle Sand DrWimauma, FL 33598-4070 · (407) 404-3244
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 25, 2024
Last NPPES UpdateMarch 31, 20253 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1467297192 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 FL · SA21752
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.
105 TRINITY LAKES DR, Sun City Center, FL 33573

Other Names 1

Former Name (1)Mariangely Rampolla

Accepted Insurance

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

Mariangely Rampolla Formby 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 ID9931623741
PECOS Enrollment IDI20250414000868

Medicare Billing Reassignments

2

Medicare enrollment records show Mariangely Rampolla Formby reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Speech-Language Pathologist
9682 LAKE NONA VILLAGE PL
Orlando, FL 32827
  • Reassigned Medicare billing, Florida enrollment
  • 42 clinicians in this Medicare group
Multi-Specialty
3400 SE ASTER LN
Stuart, FL 34994
  • Reassigned Medicare billing, Florida enrollment
  • 148 clinicians in this Medicare group

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 2

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

Skilled Nursing Facility
105 TRINITY LAKES DR
SUN CITY CENTER, FL 33573
Occupational Therapy Assistant
105 TRINITY LAKES DR
SUN CITY CENTER, FL 33573

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 Mariangely Rampolla Formby's NPI number?

The NPI number for Mariangely Rampolla Formby is 1467297192. It was assigned to this individual provider in the NPPES registry on June 25, 2024. The provider is also known as Mariangely Rampolla.

Where is Mariangely Rampolla Formby located?

Mariangely Rampolla Formby practices at 105 Trinity Lakes Dr, Sun City Center, FL 33573. The listed phone number is (813) 634-3324.

What is Mariangely Rampolla Formby's specialty?

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

Is Mariangely Rampolla Formby enrolled in Medicare?

Yes. Mariangely Rampolla Formby 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 organizations bill Medicare for Mariangely Rampolla Formby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariangely Rampolla Formby reassigns Medicare benefits to 2 organizations: Fox Rehab Slp Fl LLC (Orlando, FL) and Empowerme Rehabilitation Florida, LLC (Stuart, FL). Each 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 Mariangely Rampolla Formby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariangely Rampolla Formby accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Molina Healthcare list Mariangely Rampolla Formby 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 Mariangely Rampolla Formby was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.