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MARISA LAUREN POTTER
NPI 1558077487
Speech-Language Pathologist in Lisle, IL

Active since January 24, 2023Accepts Medicare Assignment
2850 OGDEN AVE, LISLE, IL 60532(331) 249-6200 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marisa Lauren Potter NPPES

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

MARISA LAUREN POTTER (NPI 1558077487) is an individual speech-language pathologist provider in Lisle, Illinois and active in the NPI registry since January 2023. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1558077487
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARISA LAUREN POTTER
Location Address2850 OGDEN AVELisle, IL 60532-2394
Mailing Address4507 Duncan CtNaperville, IL 60564-4368 · (331) 444-3060
Phone(331) 249-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
✔ NPI 1558077487 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
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.
2850 OGDEN AVE, Lisle, IL 60532
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marisa Lauren Potter 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 ID7517312234
PECOS Enrollment IDI20231016000714

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.

JIGNASHA CHIKANI PT, DPT
Physical Therapist
2850 OGDEN AVE
LISLE, IL 60532
Dupage County (312) 496-2103
MRS. KYLIE DEKONING BS, COTA/L
Occupational Therapy Assistant
2850 OGDEN AVE
LISLE, IL 60532
Dupage County (331) 249-6200

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 Marisa Potter's NPI number?

The NPI number for Marisa Potter is 1558077487. It was assigned to this individual provider in the NPPES registry on January 24, 2023.

Where is Marisa Potter located?

Marisa Potter practices at 2850 Ogden Ave, Lisle, IL 60532. The listed phone number is (331) 249-6200.

What is Marisa Potter's specialty?

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

Is Marisa Potter enrolled in Medicare?

Yes. Marisa Potter 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.

When was this NPI record last updated?

The NPPES record for Marisa Potter was last updated on January 24, 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.