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MIA KELLY PATTERSON MS, CF-SLP
NPI 1699515767
Speech-Language Pathologist in Saint Louis, MO

Active since May 28, 2024Accepts Medicare Assignment
12563 VILLAGE CIRCLE DR, SAINT LOUIS, MO 63127(314) 593-0834 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mia Kelly Patterson Ms, Cf-slp NPPES

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

MIA KELLY PATTERSON MS, CF-SLP (NPI 1699515767) is an individual speech-language pathologist provider in Saint Louis, Missouri and active in the NPI registry since May 2024. She maintains a secondary practice location in Chesterfield and is a graduate of Other (2024).

NPPES Registry Identity

NPI1699515767
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMIA KELLY PATTERSONCredential: MS, CF-SLP
Location Address12563 VILLAGE CIRCLE DRSaint Louis, MO 63127-1758
Mailing Address1 Braquewood CtManchester, MO 63021-6403 · (314) 593-0834
Phone(314) 593-0834
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1699515767 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.
12563 VILLAGE CIRCLE DR, Saint Louis, MO 63127
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Other Names 1

Professional Name (2)Mia Kelly Patterson Ms, Cf-slp

Secondary Practice Location 1

Location 115201 Olive BlvdChesterfield, MO 63017-1810 · Phone (636) 898-8500

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Mia Kelly Patterson Ms, Cf-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 ID648749689
PECOS Enrollment IDI20260519002437

Medicare Billing Reassignment

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

Smart Rehab, LLC
4.5 mi
Physical Therapist
524 S CRESCENT DR
Kirkwood, MO 63122
  • Reassigned Medicare billing, Missouri enrollment
  • 30 clinicians in this Medicare group
NPI 1144760471 (314) 686-1309

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.

HANNAH SCHAEFER
Occupational Therapy Assistant
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127
St. Louis County (314) 270-7700
KATELYN CHELSEA HAYES
Occupational Therapy Assistant
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127
St. Louis County (314) 842-6840
ABEGAIL SHEPARD COTAL
Occupational Therapy Assistant
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127
St. Louis County (314) 270-7700
SARAH ELIZABETH MITCHELL
Dietitian, Registered
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127
St. Louis County (314) 270-7164
AMY LYNN ALLEN
Occupational Therapy Assistant
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127
St. Louis County (314) 730-3902
BREANNE BOHNERT
Physical Therapy Assistant
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127
St. Louis County (314) 270-7700
MRS. TORIE JADE TOCCO PTA
Physical Therapy Assistant
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127
St. Louis County (314) 270-7790
KATHERINE E IMMER
Physical Therapy Assistant
12563 VILLAGE CIRCLE DR
SAINT LOUIS, MO 63127
St. Louis County (314) 270-7700

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 Mia Patterson's NPI number?

The NPI number for Mia Patterson is 1699515767. It was assigned to this individual provider in the NPPES registry on May 28, 2024. The provider is also known as Mia Kelly Patterson Ms, Cf-Slp.

Where is Mia Patterson located?

Mia Patterson practices at 12563 Village Circle Dr, Saint Louis, MO 63127. The listed phone number is (314) 593-0834.

What is Mia Patterson's specialty?

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

Is Mia Patterson enrolled in Medicare?

Yes. Mia Patterson 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 Mia Patterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mia Patterson reassigns Medicare benefits to Smart Rehab, LLC (Kirkwood, MO). 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 Mia Patterson'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 Mia Patterson was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.