JESSICA RAE EBERHART M.S. CCC-SLP
NPI 1649819392
Speech-Language Pathologist in Lake Ronkonkoma, NY
About Jessica Rae Eberhart M.s. Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA RAE EBERHART M.S. CCC-SLP (NPI 1649819392) is an individual speech-language pathologist provider in Lake Ronkonkoma, New York and active in the NPI registry since December 2019. She is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Jessica Rae Eberhart M.s. 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.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Eberhart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austin, TX 78752
- Reassigned Medicare billing, New York enrollment
- 83 clinicians in this Medicare group
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE RONKONKOMA, NY 11779
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 Jessica Eberhart's NPI number?
The NPI number for Jessica Eberhart is 1649819392. It was assigned to this individual provider in the NPPES registry on December 29, 2019.
Where is Jessica Eberhart located?
Jessica Eberhart practices at 622 Hawkins Ave, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 240-3579.
What is Jessica Eberhart's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Jessica Eberhart enrolled in Medicare?
Yes. Jessica Eberhart 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 Jessica Eberhart's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Eberhart reassigns Medicare benefits to Expressable Therapy PC (Austin, TX). 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 Jessica Eberhart'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 Jessica Eberhart was last updated on December 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jessica Rae Eberhart, M.S. CCC-SLP · NPI 1649819392
Speech-Language Pathologist provider in Lake Ronkonkoma, New York. Individual provider, active in the CMS NPPES registry since December 29, 2019.
## Identity
- **NPI:** 1649819392 (Entity type: Individual)
- **Enumerated:** December 29, 2019
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 622 HAWKINS AVE, Lake Ronkonkoma, NY 11779-2374
- **Phone:** (631) 240-3579
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Expressable Therapy PC (NPI 1134875370, Austin, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 29, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1649819392) · Data from the CMS NPPES public registry.