KELSEY SUE SUMMERVILLE M.S.
NPI 1659827848
Speech-Language Pathologist in Wahpeton, ND

Q: What is Kelsey Summerville's NPI number?

The NPI number for Kelsey Summerville is 1659827848. It was assigned to this individual provider in the NPPES registry on August 29, 2016.

Q: What is Kelsey Summerville's specialty?

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

Active since August 29, 2016

508 9TH ST N, WAHPETON, ND 58075(701) 642-3050 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2024, Aug 29, 2016 (2 updates tracked since 2016).

On this page

About Kelsey Sue Summerville M.s. NPPES

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

KELSEY SUE SUMMERVILLE M.S. (NPI 1659827848) is an individual speech-language pathologist provider in Wahpeton, North Dakota, licensed in Minnesota (9493) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1659827848

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELSEY SUE SUMMERVILLECredential: M.S.

Location Address508 9TH ST NWahpeton, ND 58075-4098

Mailing Address508 9th St NWahpeton, ND 58075-4098 · (701) 642-3050

Phone(701) 642-3050

Sole ProprietorNo

Enumeration DateAugust 29, 2016

Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1659827848 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 MN · 9493

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.

508 9TH ST N, Wahpeton, ND 58075

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Sue Summerville M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Orthopedic & Sports Physical Therapy, Inc

1.3 mi

Multi-Specialty

430 5TH ST N
Breckenridge, MN 56520

Reassigned Medicare billing, Minnesota and North Dakota enrollments
Also billed through NPI 1225215338 (North Dakota)
13 clinicians in this Medicare group

NPI 1811923535 (218) 641-7725

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 6

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

DOROTHY HAIRE

Psychologist (School)