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MRS. KERA L WISNIEWSKI M.S. CCC-SLP
NPI 1578801015
Speech-Language Pathologist in Bethlehem, PA

Active since January 17, 2013
4035 GREEN POND RD, BETHLEHEM, PA 18020(610) 867-2515 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Kera L Wisniewski M.s. Ccc-slp NPPES

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

MRS. KERA L WISNIEWSKI M.S. CCC-SLP (NPI 1578801015) is an individual speech-language pathologist provider in Bethlehem, Pennsylvania and active in the NPI registry since January 2013. She maintains a secondary practice location in Easton.

NPPES Registry Identity

NPI1578801015
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. KERA L WISNIEWSKICredential: M.S. CCC-SLP
Location Address4035 GREEN POND RDBethlehem, PA 18020-9662
Mailing Address4035 Green Pond RdBethlehem, PA 18020-9662 · (610) 867-2515
Phone(610) 867-2515
Sole ProprietorNo
Enumeration DateJanuary 17, 2013
Last NPPES UpdateFebruary 22, 2021
NPPES CertifiedFebruary 22, 2021
✔ NPI 1578801015 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.
4035 GREEN POND RD, Bethlehem, PA 18020
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Secondary Practice Location 1

Location 1175 Newlins Rd WEaston, PA 18040-7757 · Phone (619) 810-4650

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kera L Wisniewski M.s. Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Legacy Healthcare Services Inc
3.5 mi
Physical Therapist
3500 FAIRVIEW ST
Bethlehem, PA 18017
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 19 clinicians in this Medicare group
NPI 1972147528 (855) 239-3467

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 15

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

POWERBACK REHABILITATION LLC
Clinic/Center (Rehabilitation)
4035 GREEN POND RD, C/O COUNTRY MEADOWS OF BETHLEHEM
BETHLEHEM, PA 18020
Northampton County (610) 866-5704
ANDREA AMANDA BODNARI OTA
Occupational Therapy Assistant
4035 GREEN POND RD
BETHLEHEM, PA 18020
Northampton County (610) 865-5580
KYRA CERAR OTR/L
Occupational Therapist
4035 GREEN POND RD
BETHLEHEM, PA 18020
Northampton County (610) 865-5580
MEGAN ANN DURHAM MOT, OTR
Occupational Therapist
4035 GREEN POND RD
BETHLEHEM, PA 18020
Northampton County (610) 865-5580
WSSH POWERBACK REHABILITATION SERVICES, LLC
Clinic/Center (Rehabilitation)
4035 GREEN POND RD
BETHLEHEM, PA 18020
Northampton County (610) 866-5704
SHIKHA VAIDYA PT
Physical Therapist
4035 GREEN POND RD
BETHLEHEM, PA 18020
Northampton County (610) 865-5580
JASON RIC TOLENTINO
Physical Medicine & Rehabilitation
4035 GREEN POND RD
BETHLEHEM, PA 18020
Northampton County (610) 865-5580
HALEY DETWEILER
Physical Therapy Assistant
4035 GREEN POND RD
BETHLEHEM, PA 18020
Northampton County (610) 865-5580

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 Kera Wisniewski's NPI number?

The NPI number for Kera Wisniewski is 1578801015. It was assigned to this individual provider in the NPPES registry on January 17, 2013.

Where is Kera Wisniewski located?

Kera Wisniewski practices at 4035 Green Pond Rd, Bethlehem, PA 18020. The listed phone number is (610) 867-2515.

What is Kera Wisniewski's specialty?

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

Is Kera Wisniewski enrolled in Medicare?

Yes. Kera Wisniewski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kera Wisniewski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kera Wisniewski reassigns Medicare benefits to Legacy Healthcare Services Inc (Bethlehem, PA). 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 Kera Wisniewski'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 Kera Wisniewski was last updated on February 22, 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.