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KELSEY DETHROW
NPI 1629523667
Speech-Language Pathologist in Waynesville, MO

Active since August 19, 2016Accepts Medicare Assignment
200 FLEETWOOD DR, WAYNESVILLE, MO 65583(573) 842-2014 Get Directions Write a Review

NPPES record last updated: August 19, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelsey Dethrow NPPES

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

KELSEY DETHROW (NPI 1629523667) is an individual speech-language pathologist provider in Waynesville, Missouri, licensed in Missouri (2016022127) and active in the NPI registry since August 2016. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1629523667
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELSEY DETHROW
Location Address200 FLEETWOOD DRWaynesville, MO 65583-2266
Mailing Address200 Fleetwood DrWaynesville, MO 65583-2266 · (573) 842-2014
Phone(573) 842-2014
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 19, 2016
✔ NPI 1629523667 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 MO · 2016022127
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.
200 FLEETWOOD DR, Waynesville, MO 65583
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.Insurance ›

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

Kelsey Dethrow 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 ID2860909744
PECOS Enrollment IDI20250725003070

Medicare Billing Reassignments

2

Medicare enrollment records show Kelsey Dethrow reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Empowerme Rehabilitation Missouri LLC
115 mi
Multi-Specialty
1800 1ST CAPITOL DR
Saint Charles, MO 63301
  • Reassigned Medicare billing, Missouri enrollment
  • 268 clinicians in this Medicare group
NPI 1417479494 (844) 502-7996
Empowerme Wellness Kansas City, LLC
165 mi
Multi-Specialty
9101 N AMBASSADOR DR
Kansas City, MO 64154
  • Reassigned Medicare billing, Missouri enrollment
  • 201 clinicians in this Medicare group
NPI 1083208391 (844) 502-7996

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 16

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

BILLIE PRATT SLP
Speech-Language Pathologist
200 FLEETWOOD DR
WAYNESVILLE, MO 65583
Pulaski County (573) 842-2000
ELIZABETH MILLER COTA/L
Occupational Therapy Assistant
200 FLEETWOOD DR
WAYNESVILLE, MO 65583
Pulaski County (509) 899-5034
ANNALISE SNYDER
Speech-Language Pathologist
200 FLEETWOOD DR
WAYNESVILLE, MO 65583
Pulaski County (573) 842-2097
RICHLAND MEDICAL CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
200 FLEETWOOD DR
WAYNESVILLE, MO 65583
Pulaski County (573) 765-5131
TIFFANY BEALL
Occupational Therapy Assistant
200 FLEETWOOD DR
WAYNESVILLE, MO 65583
Pulaski County (573) 842-2092
CHLOE JADE SMITH
Speech-Language Pathologist
200 FLEETWOOD DR
WAYNESVILLE, MO 65583
Pulaski County (573) 842-2097
WAYNESVILLE R-VI SCHOOL DISTRICT
Local Education Agency (LEA)
200 FLEETWOOD DR
WAYNESVILLE, MO 65583
Pulaski County (573) 842-2097
LAUREN CASANTA M.A. CCC-SLP
Speech-Language Pathologist
200 FLEETWOOD DR
WAYNESVILLE, MO 65583
Pulaski County (573) 842-2007

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 Kelsey Dethrow's NPI number?

The NPI number for Kelsey Dethrow is 1629523667. It was assigned to this individual provider in the NPPES registry on August 19, 2016.

Where is Kelsey Dethrow located?

Kelsey Dethrow practices at 200 Fleetwood Dr, Waynesville, MO 65583. The listed phone number is (573) 842-2014.

What is Kelsey Dethrow's specialty?

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

Is Kelsey Dethrow enrolled in Medicare?

Yes. Kelsey Dethrow 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 Kelsey Dethrow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Dethrow reassigns Medicare benefits to 2 organizations: Empowerme Rehabilitation Missouri LLC (Saint Charles, MO) and Empowerme Wellness Kansas City, LLC (Kansas City, MO). 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 Kelsey Dethrow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelsey Dethrow accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Kelsey Dethrow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelsey Dethrow was last updated on August 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.