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JACQUELYN AUSTIN MA CCC-SLP
NPI 1619386679
Speech-Language Pathologist in Isanti, MN

Active since August 04, 2014
904 6TH AVENUE CT NE, ISANTI, MN 55040(763) 444-8700 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 31, 2018, Mar 1, 2017 (2 updates tracked since 2017).

About Jacquelyn Austin Ma Ccc-slp NPPES

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

JACQUELYN AUSTIN MA CCC-SLP (NPI 1619386679) is an individual speech-language pathologist provider in Isanti, Minnesota, licensed in Minnesota (9331) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1619386679
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACQUELYN AUSTINCredential: MA CCC-SLP
Location Address904 6TH AVENUE CT NEIsanti, MN 55040
Mailing Address904 6th Avenue Ct NeIsanti, MN 55040-3208 · (763) 444-8700
Phone(763) 444-8700
Sole ProprietorYes
Enumeration DateAugust 4, 2014
Last NPPES UpdateJuly 31, 20182 updates tracked since enumeration
✔ NPI 1619386679 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 MN · 9331
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.
904 6TH AVENUE CT NE, Isanti, MN 55040
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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)

Jacquelyn Austin Ma Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Therapy Associates Inc
1.8 mi
Speech-Language Pathologist
904 6TH AVE CT. NE
Isanti, MN 55040
  • Reassigned Medicare billing, Minnesota enrollment
  • 11 clinicians in this Medicare group
NPI 1558418012 (763) 444-8700

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 12

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

MEGAN K MORK
Speech-Language Pathologist
904 6TH AVENUE CT NE
ISANTI, MN 55040
Isanti County (763) 444-8700
KAYLA O'MEARA
Speech-Language Pathologist
904 6TH AVENUE CT NE
ISANTI, MN 55040
Isanti County (763) 444-8700
THERAPY ASSOCIATES, INC.
Speech-Language Pathologist
904 6TH AVENUE CT NE
ISANTI, MN 55040
Isanti County (763) 444-8700
NAOMI MAY PLEMON SLP
Speech-Language Pathologist
904 6TH AVENUE CT NE
ISANTI, MN 55040
Isanti County (762) 444-8700
ANNIE MCCLURE MS CCC-SLP
Speech-Language Pathologist
904 6TH AVENUE CT NE
ISANTI, MN 55040
Isanti County (763) 444-8700
DEBORAH RENE RUYMAN MSW, LICSW
Social Worker (Clinical)
904 6TH AVENUE CT NE
ISANTI, MN 55040
Isanti County (763) 444-7556
ELIZABETH CRAWFORD
Speech-Language Pathologist
904 6TH AVENUE CT NE
ISANTI, MN 55040
Isanti County (763) 444-8700
EMMA NICOLE DRONNE
Speech-Language Pathologist
904 6TH AVENUE CT NE
ISANTI, MN 55040
Isanti County (763) 444-8700

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 Jacquelyn Austin's NPI number?

The NPI number for Jacquelyn Austin is 1619386679. It was assigned to this individual provider in the NPPES registry on August 4, 2014.

Where is Jacquelyn Austin located?

Jacquelyn Austin practices at 904 6th Avenue Ct NE, Isanti, MN 55040. The listed phone number is (763) 444-8700.

What is Jacquelyn Austin's specialty?

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

Is Jacquelyn Austin enrolled in Medicare?

Yes. Jacquelyn Austin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacquelyn Austin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Austin reassigns Medicare benefits to Therapy Associates Inc (Isanti, MN). 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 Jacquelyn Austin'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 Jacquelyn Austin was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.