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MRS. LISA MICHELLE CASSIDY STULTZ MS CCCSLP
NPI 1568651107
Speech-Language Pathologist in Avon, IN

Active since October 19, 2007Accepts Medicare Assignment
2141 N DAN JONES RD, AVON, IN 46123(317) 943-1837(317) 780-3750 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Lisa Michelle Cassidy Stultz Ms Cccslp NPPES

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

MRS. LISA MICHELLE CASSIDY STULTZ MS CCCSLP (NPI 1568651107) is an individual speech-language pathologist provider in Avon, Indiana, licensed in Indiana (22004181A) and active in the NPI registry since October 2007. She is a graduate of Other (2004).

NPPES Registry Identity

NPI1568651107
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. LISA MICHELLE CASSIDY STULTZCredential: MS CCCSLP
Location Address2141 N DAN JONES RDAvon, IN 46123-6023
Mailing Address18 Estate DrMooresville, IN 46158-1216 · (317) 374-6947
Phone(317) 943-1837
Fax(317) 780-3750
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 19, 2007
Last NPPES UpdateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
✔ NPI 1568651107 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 · 22004181A
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.
2141 N DAN JONES RD, Avon, IN 46123
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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 and accepts Medicare assignment

Mrs. Lisa Michelle Cassidy Stultz Ms Cccslp 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 ID1254700453
PECOS Enrollment IDI20221209002612

Medicare Billing Reassignments

3

Medicare enrollment records show Lisa Cassidy Stultz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Healthcare Services, Inc.
47 mi
Physical Therapist
2800 S DIXON RD
Kokomo, IN 46902
  • Reassigned Medicare billing, Indiana enrollment
  • 78 clinicians in this Medicare group
NPI 1518069913 (765) 864-0237
Empowerme Rehabilitation Illinois, LLC
47 mi
Multi-Specialty
329 RAINBOW DR
Kokomo, IN 46902
  • Reassigned Medicare billing, Indiana enrollment
  • 51 clinicians in this Medicare group
NPI 1023618956 (877) 367-9772
Select Rehabilitation, LLC
176 mi
Rehabilitation
2600 COMPASS RD
Glenview, IL 60026
  • Reassigned Medicare billing, Indiana enrollment
  • 27 clinicians in this Medicare group
NPI 1346368248 (847) 441-5593

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 5

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

POWERBACK REHABILITATION LLC
Physical Therapist
2141 N DAN JONES RD
AVON, IN 46123
Hendricks County (800) 728-8808
HARMONY AT AVON
Assisted Living Facility
2141 N DAN JONES RD
AVON, IN 46123
Hendricks County (317) 943-5400
KRISTEN HWANG PT
Physical Therapist
2141 N DAN JONES RD
AVON, IN 46123
Hendricks County (317) 943-3932
WSSH POWERBACK REHABILITATION SERVICES, LLC
Physical Therapist
2141 N DAN JONES RD
AVON, IN 46123
Hendricks County (323) 928-9445
AMY L JELLEY
Occupational Therapist
2141 N DAN JONES RD
AVON, IN 46123
Hendricks County (317) 943-1837

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 Lisa Cassidy Stultz's NPI number?

The NPI number for Lisa Cassidy Stultz is 1568651107. It was assigned to this individual provider in the NPPES registry on October 19, 2007.

Where is Lisa Cassidy Stultz located?

Lisa Cassidy Stultz practices at 2141 N Dan Jones Rd, Avon, IN 46123. The listed phone number is (317) 943-1837.

What is Lisa Cassidy Stultz's specialty?

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

Is Lisa Cassidy Stultz enrolled in Medicare?

Yes. Lisa Cassidy Stultz 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 Lisa Cassidy Stultz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Cassidy Stultz reassigns Medicare benefits to 3 organizations: Legacy Healthcare Services, Inc. (Kokomo, IN), Empowerme Rehabilitation Illinois, LLC (Kokomo, IN) and Select Rehabilitation, LLC (Glenview, IL). 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 Lisa Cassidy Stultz'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 Lisa Cassidy Stultz was last updated on December 6, 2022. 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.