1. Home
  2. Directory
  3. Illinois
  4. Sparta
  5. Speech Language Pathologist
  6. NPI Profile

KAELYN NOELLE RUBACH CCC-SLP
NPI 1639055775
Speech-Language Pathologist in Sparta, IL

Active since August 13, 2025Accepts Medicare Assignment
203 DEAN AVE, SPARTA, IL 62286(618) 615-7932 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, Aug 13, 2025 (2 updates tracked since 2025).

About Kaelyn Noelle Rubach Ccc-slp NPPES

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

KAELYN NOELLE RUBACH CCC-SLP (NPI 1639055775) is an individual speech-language pathologist provider in Sparta, Illinois, licensed in Illinois (146.029071) and active in the NPI registry since August 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1639055775
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKAELYN NOELLE RUBACHCredential: CCC-SLP
Location Address203 DEAN AVESparta, IL 62286-2301
Mailing Address506 Crestview DrSteeleville, IL 62288-2314 · (618) 615-7932
Phone(618) 615-7932
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 13, 2025
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1639055775 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 IL · 146.029071
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.
203 DEAN AVE, Sparta, IL 62286
Open in Google Maps ↗

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

Kaelyn Noelle Rubach Ccc-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 ID3779059548
PECOS Enrollment IDI20260420000351

Medicare Billing Reassignments

2

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

Empowerme Wellness Kansas City, LLC
27 mi
Multi-Specialty
1021 W E ST
Belleville, IL 62220
  • Reassigned Medicare billing, Illinois enrollment
  • 308 clinicians in this Medicare group
NPI 1174118103 (844) 502-7996
Empowerme Rehabilitation Illinois, LLC
48 mi
Occupational Therapist
7108 MARINE RD
Edwardsville, IL 62025
  • Reassigned Medicare billing, Illinois enrollment
  • 261 clinicians in this Medicare group
NPI 1679098263 (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 3

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

SHEA PETROWSKE
Speech-Language Pathologist
203 DEAN AVE
SPARTA, IL 62286
Randolph County (618) 443-5331
EMILY LOESING
Speech-Language Pathologist
203 DEAN AVE
SPARTA, IL 62286
Randolph County (618) 443-5331
TAYLOR HARBAUGH
Speech-Language Pathologist
203 DEAN AVE
SPARTA, IL 62286
Randolph County (618) 443-5331

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 Kaelyn Rubach's NPI number?

The NPI number for Kaelyn Rubach is 1639055775. It was assigned to this individual provider in the NPPES registry on August 13, 2025.

Where is Kaelyn Rubach located?

Kaelyn Rubach practices at 203 Dean Ave, Sparta, IL 62286. The listed phone number is (618) 615-7932.

What is Kaelyn Rubach's specialty?

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

Is Kaelyn Rubach enrolled in Medicare?

Yes. Kaelyn Rubach 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 Kaelyn Rubach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaelyn Rubach reassigns Medicare benefits to 2 organizations: Empowerme Wellness Kansas City, LLC (Belleville, IL) and Empowerme Rehabilitation Illinois, LLC (Edwardsville, IL). 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 Kaelyn Rubach'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 Kaelyn Rubach was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.