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KELSEY KERYN RUIZ
NPI 1639736911
Speech-Language Pathologist in Mahopac, NY

Active since May 22, 2019Accepts Medicare Assignment

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelsey Keryn Ruiz NPPES

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

KELSEY KERYN RUIZ (NPI 1639736911) is an individual speech-language pathologist provider in Mahopac, New York and active in the NPI registry since May 2019. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1639736911
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELSEY KERYN RUIZ
Location Address572 US 6Mahopac, NY 10541
Mailing Address6136 170th St Apt M4Fresh Meadows, NY 11365-1957 · (718) 709-0940
Phone(845) 519-2295
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 22, 2019
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1639736911 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
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.
572 US 6, Mahopac, NY 10541
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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 and accepts Medicare assignment

Kelsey Keryn Ruiz 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 ID1658800644
PECOS Enrollment IDI20250121000770

Medicare Billing Reassignments

2

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

My Medical PC
22 mi
Family Medicine
612 CORPORATE WAY STE 2
Valley Cottage, NY 10989
  • Reassigned Medicare billing, New York enrollment
  • 137 clinicians in this Medicare group
NPI 1518637891 (718) 280-5436
Peyman Younesi MD PLLC
47 mi
Internal Medicine
6136 170TH ST APT M4
Fresh Meadows, NY 11365
  • Reassigned Medicare billing, New York enrollment
  • 193 clinicians in this Medicare group
NPI 1891053328 (718) 709-0940

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

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

MRS. AMANDA JEAN BASTING M.S. CCC-SLP
Speech-Language Pathologist
572 US 6
MAHOPAC, NY 10541
Putnam County (845) 519-2295

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 Ruiz's NPI number?

The NPI number for Kelsey Ruiz is 1639736911. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Kelsey Ruiz located?

Kelsey Ruiz practices at 572 Us 6, Mahopac, NY 10541. The listed phone number is (845) 519-2295.

What is Kelsey Ruiz's specialty?

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

Is Kelsey Ruiz enrolled in Medicare?

Yes. Kelsey Ruiz 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 Ruiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Ruiz reassigns Medicare benefits to 2 organizations: My Medical PC (Valley Cottage, NY) and Peyman Younesi MD PLLC (Fresh Meadows, NY). 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 Ruiz'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 Kelsey Ruiz was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.