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KELLY ANN BUCKLES MS, SLP
NPI 1487903126
Speech-Language Pathologist in Hudson, WI

Active since September 07, 2012
742 STERBENZ DR, HUDSON, WI 54016(715) 386-2128(715) 386-6119 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Ann Buckles Ms, Slp NPPES

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

KELLY ANN BUCKLES MS, SLP (NPI 1487903126) is an individual speech-language pathologist provider in Hudson, Wisconsin, licensed in Wisconsin (3720) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1487903126
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY ANN BUCKLESCredential: MS, SLP
Location Address742 STERBENZ DRHudson, WI 54016-8327
Mailing Address742 Sterbenz DrHudson, WI 54016-8327 · (715) 386-2128 · Fax (715) 386-6119
Phone(715) 386-2128
Fax(715) 386-6119
Sole ProprietorNo
Enumeration DateSeptember 7, 2012
Last NPPES UpdateDecember 18, 2012
✔ NPI 1487903126 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 WI · 3720
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.
742 STERBENZ DR, Hudson, WI 54016
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Other Identifiers 1

Other3720WI · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Ann Buckles Ms, Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

St Croix Therapy Inc
Same address
Physical Therapist
742 STERBENZ DR
Hudson, WI 54016
  • Reassigned Medicare billing, Wisconsin enrollment
  • 11 clinicians in this Medicare group
NPI 1669672911 (715) 386-2128

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.

MRS. BROOKE CATHERINE JOHN
Speech-Language Pathologist
742 STERBENZ DR
HUDSON, WI 54016
St. Croix County (715) 386-2128
SUSAN BOPRAY
Speech-Language Pathologist
742 STERBENZ DR
HUDSON, WI 54016
St. Croix County (715) 386-2128
JESSICA LEE BOETTGER PT
Physical Therapist
742 STERBENZ DR
HUDSON, WI 54016
St. Croix County (715) 386-2128
JENNIFER MARIE COOK BSW, MA OTR/L
Occupational Therapist
742 STERBENZ DR, ST CROIX THERAPY INC
HUDSON, WI 54016
St. Croix County (715) 386-2128
CAROLINE MCCLEARY OT
Occupational Therapist (Pediatrics)
742 STERBENZ DR
HUDSON, WI 54016
St. Croix County (715) 386-2128
ALECIA LYN DADEZ
Occupational Therapist (Pediatrics)
742 STERBENZ DR
HUDSON, WI 54016
St. Croix County (715) 386-2128
MELISSA ANNE OTTO PT, DPT
Physical Therapist
742 STERBENZ DR
HUDSON, WI 54016
St. Croix County (715) 386-2128
LINDA MICHELLE WARNER CCC-SLP
Speech-Language Pathologist
742 STERBENZ DR
HUDSON, WI 54016
St. Croix County (715) 386-2128

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 Kelly Buckles's NPI number?

The NPI number for Kelly Buckles is 1487903126. It was assigned to this individual provider in the NPPES registry on September 7, 2012.

Where is Kelly Buckles located?

Kelly Buckles practices at 742 Sterbenz Dr, Hudson, WI 54016. The listed phone number is (715) 386-2128.

What is Kelly Buckles's specialty?

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

Is Kelly Buckles enrolled in Medicare?

Yes. Kelly Buckles is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Buckles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Buckles reassigns Medicare benefits to St Croix Therapy Inc (Hudson, 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 Kelly Buckles'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 Kelly Buckles was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.