KELSEY NICOLE HANLEY M.S., CCC-SLP
NPI 1679221766
Speech-Language Pathologist in Fairfield, CA
About Kelsey Nicole Hanley M.s., Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY NICOLE HANLEY M.S., CCC-SLP (NPI 1679221766) is an individual speech-language pathologist provider in Fairfield, California, licensed in California (31668) and active in the NPI registry since March 2022.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelsey Nicole Hanley M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelsey Hanley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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 Hanley's NPI number?
The NPI number for Kelsey Hanley is 1679221766. It was assigned to this individual provider in the NPPES registry on March 16, 2022.
Where is Kelsey Hanley located?
Kelsey Hanley practices at 3032 Beechwood Ct, Fairfield, CA 94533. The listed phone number is (707) 330-3239.
What is Kelsey Hanley's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Kelsey Hanley enrolled in Medicare?
Yes. Kelsey Hanley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelsey Hanley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Hanley reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). 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 Kelsey Hanley'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 Hanley was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kelsey Nicole Hanley, M.S., CCC-SLP · NPI 1679221766
Speech-Language Pathologist provider in Fairfield, California. Individual provider, active in the CMS NPPES registry since March 16, 2022.
## Identity
- **NPI:** 1679221766 (Entity type: Individual)
- **Enumerated:** March 16, 2022
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 31668 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3032 BEECHWOOD CT, Fairfield, CA 94533-7731
- **Phone:** (707) 330-3239
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1679221766) · Data from the CMS NPPES public registry.