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KYLIE BRYNNE MEERHOLZ M.S, CCC-SLP
NPI 1629647565
Speech-Language Pathologist in Jenks, OK

Active since June 24, 2021
11708 S FOREST AVE, JENKS, OK 74037(918) 633-1184 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kylie Brynne Meerholz M.s, Ccc-slp NPPES

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

KYLIE BRYNNE MEERHOLZ M.S, CCC-SLP (NPI 1629647565) is an individual speech-language pathologist provider in Jenks, Oklahoma, licensed in Oklahoma (4595) and active in the NPI registry since June 2021. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1629647565
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKYLIE BRYNNE MEERHOLZCredential: M.S, CCC-SLP
Location Address11708 S FOREST AVEJenks, OK 74037-5019
Mailing Address11708 S Forest AveJenks, OK 74037-5019 · (918) 633-1184
Phone(918) 633-1184
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 24, 2021
NPPES CertifiedJune 24, 2021
✔ NPI 1629647565 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 OK · 4595
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.
11708 S FOREST AVE, Jenks, OK 74037
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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 Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Brynne Meerholz M.s, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42789950
PECOS Enrollment IDI20260520000041

Medicare Billing Reassignment

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

Functional Pathways Preferred Of Tennessee LLC
664 mi
Physical Therapist
10133 SHERRILL BLVD, SUITE 200
Knoxville, TN 37932
  • Reassigned Medicare billing, Oklahoma enrollment
  • 10 clinicians in this Medicare group
NPI 1841561446 (888) 531-2204

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kylie Meerholz's NPI number?

The NPI number for Kylie Meerholz is 1629647565. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Kylie Meerholz located?

Kylie Meerholz practices at 11708 S Forest Ave, Jenks, OK 74037. The listed phone number is (918) 633-1184.

What is Kylie Meerholz's specialty?

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

Is Kylie Meerholz enrolled in Medicare?

Yes. Kylie Meerholz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kylie Meerholz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kylie Meerholz reassigns Medicare benefits to Functional Pathways Preferred Of Tennessee LLC (Knoxville, TN). 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 Kylie Meerholz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kylie Meerholz accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Kylie Meerholz 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 Kylie Meerholz was last updated on June 24, 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.