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EMMA MATCH SLP
NPI 1629627021
Speech-Language Pathologist in Milwaukee, WI

Active since September 09, 2019Accepts Medicare Assignment
10200 W INNOVATION DR, MILWAUKEE, WI 53226(414) 955-1040(414) 307-1583 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2025, Jun 14, 2021, Sep 9, 2019 (3 updates tracked since 2019).

About Emma Match Slp NPPES

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

EMMA MATCH SLP (NPI 1629627021) is an individual speech-language pathologist provider in Milwaukee, Wisconsin, licensed in Wisconsin (5099-154) and active in the NPI registry since September 2019. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1629627021
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameEMMA MATCHCredential: SLP
Location Address10200 W INNOVATION DRMilwaukee, WI 53226-4825
Mailing Address10200 W Innovation DrMilwaukee, WI 53226-4825 · (414) 955-1040 · Fax (414) 307-1583
Phone(414) 955-1040
Fax(414) 307-1583
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 9, 2019
Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1629627021 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 WI · 5099-154
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.
10200 W INNOVATION DR, Milwaukee, WI 53226
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Accepted Insurance

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

Emma Match Slp 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 ID5193216844
PECOS Enrollment IDI20251111002213

Medicare Billing Reassignment

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

The Medical College Of Wisconsin, Inc.
0.9 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

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.

ANNE M FAGAN MD
Anesthesiology
10200 W INNOVATION DR
MILWAUKEE, WI 53226
Milwaukee County (414) 302-9196
LEVI ANESTHESIA CORPORATION
Anesthesiology
10200 W INNOVATION DR
MILWAUKEE, WI 53226
Milwaukee County (708) 704-9616
TAMARA INSTENESS NP
Nurse Practitioner (Family)
10200 W INNOVATION DR
MILWAUKEE, WI 53226
Milwaukee County (414) 323-8406
DR. ATHLENE A. ALEXIS M.D.
Anesthesiology
10200 W INNOVATION DR, SUITE 700
MILWAUKEE, WI 53226
Milwaukee County (414) 302-9196
MILWAUKEE HEART SCAN, LLC
Specialist
10200 W INNOVATION DR, SUITE 600
MILWAUKEE, WI 53226
Milwaukee County (414) 774-7600
EYE SURGERY & LASER CENTER OF WISCONSIN LLC
Clinic/Center (Ambulatory Surgical)
10200 W INNOVATION DR, SUITE 700
MILWAUKEE, WI 53226
Milwaukee County (414) 302-9196
RUDOLFO S. LASTRILLA, M.D., S.C.
Anesthesiology (Pain Medicine)
10200 W INNOVATION DR, SUITE 700
MILWAUKEE, WI 53226
Milwaukee County (414) 302-9196
CHAD KLINE LCSW
Counselor (Mental Health)
10200 W INNOVATION DR
MILWAUKEE, WI 53226
Milwaukee County (414) 955-1040

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 Emma Match's NPI number?

The NPI number for Emma Match is 1629627021. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Emma Match located?

Emma Match practices at 10200 W Innovation Dr, Milwaukee, WI 53226. The listed phone number is (414) 955-1040.

What is Emma Match's specialty?

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

Is Emma Match enrolled in Medicare?

Yes. Emma Match 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 organization bills Medicare for Emma Match's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emma Match reassigns Medicare benefits to The Medical College Of Wisconsin, Inc. (Milwaukee, WI). 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 Emma Match's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emma Match accept?

Health plans from Anthem Blue Cross and Blue Shield list Emma Match 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 Emma Match was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.