1. Home
  2. Directory
  3. Indiana
  4. Fishers
  5. Speech Language Pathologist
  6. NPI Profile

MS. KERRY LACEY AMSHOFF M.A., CFY-SLP
NPI 1467702647
Speech-Language Pathologist in Fishers, IN

Active since September 14, 2012
11699 MAPLE ST, FISHERS, IN 46038(317) 284-1166(317) 284-1669 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Kerry Lacey Amshoff M.a., Cfy-slp NPPES

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

MS. KERRY LACEY AMSHOFF M.A., CFY-SLP (NPI 1467702647) is an individual speech-language pathologist provider in Fishers, Indiana, licensed in Indiana (46002386A) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1467702647
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. KERRY LACEY AMSHOFFCredential: M.A., CFY-SLP
Location Address11699 MAPLE STFishers, IN 46038-2805
Mailing Address10113 Northwind DrIndianapolis, IN 46256-9591 · (317) 750-7886
Phone(317) 284-1166
Fax(317) 284-1669
Sole ProprietorYes
Enumeration DateSeptember 14, 2012
Last NPPES UpdateOctober 27, 2023
✔ NPI 1467702647 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 IN · 46002386A
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.
11699 MAPLE ST, Fishers, IN 46038
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kerry Lacey Amshoff M.a., Cfy-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Southern California Permanente Medical Group
1,792 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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

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

LAURIE NIEDERHAUSER PT
Physical Therapist
11699 MAPLE ST
FISHERS, IN 46038
Hamilton County (317) 507-2470

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 Kerry Amshoff's NPI number?

The NPI number for Kerry Amshoff is 1467702647. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Kerry Amshoff located?

Kerry Amshoff practices at 11699 Maple St, Fishers, IN 46038. The listed phone number is (317) 284-1166.

What is Kerry Amshoff's specialty?

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

Is Kerry Amshoff enrolled in Medicare?

Yes. Kerry Amshoff is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kerry Amshoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Amshoff reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). 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 Kerry Amshoff'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 Kerry Amshoff was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.