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LISA MARIE GUM MS,CCC/SLP
NPI 1689845109
Speech-Language Pathologist in Suffolk, VA

Active since March 13, 2008Accepts Medicare Assignment
100 N MAIN ST, SUFFOLK, VA 23434(757) 925-6764 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Marie Gum Ms,ccc/slp NPPES

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

LISA MARIE GUM MS,CCC/SLP (NPI 1689845109) is an individual speech-language pathologist provider in Suffolk, Virginia and active in the NPI registry since March 2008. She maintains a secondary practice location in Buckhannon and is a graduate of Other (1996).

NPPES Registry Identity

NPI1689845109
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLISA MARIE GUMCredential: MS,CCC/SLP
Location Address100 N MAIN STSuffolk, VA 23434-4529
Mailing Address100 N Main StSuffolk, VA 23434-4529 · (757) 925-6764
Phone(757) 925-6764
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 13, 2008
Last NPPES UpdateOctober 29, 2018
✔ NPI 1689845109 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.
100 N MAIN ST, Suffolk, VA 23434
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Other Names 1

Former Name (1)Lisa Marie Hosfeld Ms,ccc/slp

Secondary Practice Location 1

Location 1102 Smithfield StBuckhannon, WV 26201-2620 · Phone (304) 624-6554 ext. 227 · Fax (304) 624-5223

Other Identifiers 1

Medicaid7402343000WV

Accepted Insurance

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

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

Lisa Marie Gum Ms,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.

PECOS PAC ID4183127236
PECOS Enrollment IDI20250912003750

Medicare Billing Reassignment

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

Rww Outpatient Rehab Services, LLC
2,010 mi
Multi-Specialty
1190 E MISSOURI AVE STE 100
Phoenix, AZ 85014
  • Reassigned Medicare billing, Arizona enrollment
  • 47 clinicians in this Medicare group
NPI 1447744461 (602) 393-0520

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.

SUFFOLK CITY PUBLIC SCHOOLS
Local Education Agency (LEA)
100 N MAIN ST
SUFFOLK, VA 23434
Suffolk City (757) 925-6754
TOBY PENNELL
Occupational Therapy Assistant
100 N MAIN ST
SUFFOLK, VA 23434
Suffolk City (757) 925-6764
MS. SHERRY WYNETTE HARPER M.ED.
Speech-Language Pathologist
100 N MAIN ST
SUFFOLK, VA 23434
Suffolk City (757) 925-6752
ASHLEY NAOMI DEESE
Psychologist (School)
100 N MAIN ST
SUFFOLK, VA 23434
Suffolk City (757) 925-6750
JOY DAVIS CCC-SLP
Speech-Language Pathologist
100 N MAIN ST
SUFFOLK, VA 23434
Suffolk City (757) 925-6764
MS. KIMBERLEY B GREEN MS, CCC-SLP
Speech-Language Pathologist
100 N MAIN ST
SUFFOLK, VA 23434
Suffolk City (757) 925-6764
MRS. MOLLY GRANDY
Speech-Language Pathologist
100 N MAIN ST
SUFFOLK, VA 23434
Suffolk City (757) 925-6764
ALEXANDRA L D'BENE
Occupational Therapist
100 N MAIN ST
SUFFOLK, VA 23434
Suffolk City (757) 925-6764

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 Lisa Gum's NPI number?

The NPI number for Lisa Gum is 1689845109. It was assigned to this individual provider in the NPPES registry on March 13, 2008. The provider is also known as Lisa Marie Hosfeld Ms,ccc/Slp.

Where is Lisa Gum located?

Lisa Gum practices at 100 N Main St, Suffolk, VA 23434. The listed phone number is (757) 925-6764.

What is Lisa Gum's specialty?

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

Is Lisa Gum enrolled in Medicare?

Yes. Lisa Gum 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 Lisa Gum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Gum reassigns Medicare benefits to Rww Outpatient Rehab Services, LLC (Phoenix, AZ). 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 Lisa Gum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Gum accept?

Health plans from Blue Cross Blue Shield of Arizona list Lisa Gum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Gum was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.