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SHAE WILSON
NPI 1477142099
Speech-Language Pathologist in Claremore, OK

Active since January 18, 2021
1071 W BLUE STARR DR # 101, CLAREMORE, OK 74017(918) 341-4343 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shae Wilson NPPES

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

SHAE WILSON (NPI 1477142099) is an individual speech-language pathologist provider in Claremore, Oklahoma, licensed in Oklahoma (CF233) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1477142099
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHAE WILSON
Location Address1071 W BLUE STARR DR # 101Claremore, OK 74017-2868
Mailing Address1071 W Blue Starr Dr # 101Claremore, OK 74017-2868 · (918) 341-4343
Phone(918) 341-4343
Sole ProprietorYes
Enumeration DateJanuary 18, 2021
NPPES CertifiedJanuary 18, 2021
✔ NPI 1477142099 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 OK · CF233
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.
1071 W BLUE STARR DR # 101, Claremore, OK 74017
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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)

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

Medicare Billing Reassignment

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

Swallowing And Neurological Rehabilitation, LLC
23 mi
Hearing and Speech
2121 S COLUMBIA AVE, SUITE 470
Tulsa, OK 74114
  • Reassigned Medicare billing, Oklahoma enrollment
  • 6 clinicians in this Medicare group
NPI 1043635345 (918) 928-4700

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 7

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

CAYLEY PURCELL
Speech-Language Pathologist
1071 W BLUE STARR DR # 101
CLAREMORE, OK 74017
Rogers County (918) 341-4343
COURTNEY TOWNSEND
Physical Therapist
1071 W BLUE STARR DR # 101
CLAREMORE, OK 74017
Rogers County (918) 341-4343
ASPEN GOLEMBOSKI
Occupational Therapy Assistant
1071 W BLUE STARR DR # 101
CLAREMORE, OK 74017
Rogers County (918) 341-4343
ALYSSA OWENS
Speech-Language Pathologist
1071 W BLUE STARR DR # 101
CLAREMORE, OK 74017
Rogers County (918) 341-4343
JOY WILKINS
Occupational Therapy Assistant
1071 W BLUE STARR DR # 101
CLAREMORE, OK 74017
Rogers County (918) 341-4343
NATALIE YOUNG
Physical Therapy Assistant
1071 W BLUE STARR DR # 101
CLAREMORE, OK 74017
Rogers County (918) 341-4343
MELISSA RICE
Occupational Therapist
1071 W BLUE STARR DR # 101
CLAREMORE, OK 74017
Rogers County (918) 341-4343

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 Shae Wilson's NPI number?

The NPI number for Shae Wilson is 1477142099. It was assigned to this individual provider in the NPPES registry on January 18, 2021.

Where is Shae Wilson located?

Shae Wilson practices at 1071 W Blue Starr Dr # 101, Claremore, OK 74017. The listed phone number is (918) 341-4343.

What is Shae Wilson's specialty?

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

Is Shae Wilson enrolled in Medicare?

Yes. Shae Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shae Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shae Wilson reassigns Medicare benefits to Swallowing And Neurological Rehabilitation, LLC (Tulsa, OK). 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 Shae Wilson'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 Shae Wilson was last updated on January 18, 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.