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MAKAYLA CHRISTINE STASA M.A. SLP-CF
NPI 1679365688
Speech-Language Pathologist in Tecumseh, MI

Active since May 19, 2025
1434 W CHICAGO BLVD STE A, TECUMSEH, MI 49286(517) 507-5555 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Makayla Christine Stasa M.a. Slp-cf NPPES

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

MAKAYLA CHRISTINE STASA M.A. SLP-CF (NPI 1679365688) is an individual speech-language pathologist provider in Tecumseh, Michigan and active in the NPI registry since May 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1679365688
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMAKAYLA CHRISTINE STASACredential: M.A. SLP-CF
Location Address1434 W CHICAGO BLVD STE ATecumseh, MI 49286-8727
Mailing Address1434 W Chicago Blvd Ste ATecumseh, MI 49286-8727 · (517) 507-5555
Phone(517) 507-5555
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 19, 2025
NPPES CertifiedMay 18, 2025
✔ NPI 1679365688 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.
1434 W CHICAGO BLVD STE A, Tecumseh, MI 49286
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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 (PECOS)

Makayla Christine Stasa M.a. Slp-cf is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012486533
PECOS Enrollment IDI20260514000798

Medicare Billing Reassignment

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

Ivyrehab Michigan, LLC
56 mi
Sports Medicine
400 ROUNDS DR
Fenton, MI 48430
  • Reassigned Medicare billing, Michigan enrollment
  • 339 clinicians in this Medicare group
NPI 1104337120 (810) 750-1996

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 16

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

DR. NATALIE MEGAN BULLOCK OTD, OTR/L
Occupational Therapist
1434 W CHICAGO BLVD STE A
TECUMSEH, MI 49286
Lenawee County (517) 507-5555
EMILY KAY BURNS
Behavior Technician
1434 W CHICAGO BLVD STE A
TECUMSEH, MI 49286
Lenawee County (517) 507-5555
ELIZABETH JANE SNELLING
Behavior Technician
1434 W CHICAGO BLVD STE A
TECUMSEH, MI 49286
Lenawee County (517) 507-5555
KIM MICHELLE SWICZKOWSKI
Behavior Technician
1434 W CHICAGO BLVD STE A
TECUMSEH, MI 49286
Lenawee County (517) 507-5556
MEGAN AMELIA FORTMAN
Assistant Behavior Analyst
1434 W CHICAGO BLVD STE A
TECUMSEH, MI 49286
Lenawee County (517) 507-5556
KALI D HELLER
Behavior Technician
1434 W CHICAGO BLVD STE A
TECUMSEH, MI 49286
Lenawee County (517) 507-5555
BREANNA MARIE CAMPBELL
Behavior Technician
1434 W CHICAGO BLVD STE A
TECUMSEH, MI 49286
Lenawee County (517) 507-5555
KIMBERLY GRAFT
Behavior Technician
1434 W CHICAGO BLVD STE A
TECUMSEH, MI 49286
Lenawee County (517) 507-5555

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 Makayla Stasa's NPI number?

The NPI number for Makayla Stasa is 1679365688. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Where is Makayla Stasa located?

Makayla Stasa practices at 1434 W Chicago Blvd Ste A, Tecumseh, MI 49286. The listed phone number is (517) 507-5555.

What is Makayla Stasa's specialty?

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

Is Makayla Stasa enrolled in Medicare?

Yes. Makayla Stasa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Makayla Stasa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Makayla Stasa reassigns Medicare benefits to Ivyrehab Michigan, LLC (Fenton, MI). 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 Makayla Stasa'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 Makayla Stasa was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.