CARRIE RENEE RYDSTROM
NPI 1750173886
Speech-Language Pathologist in Kemmerer, WY

Q: What is Carrie Rydstrom's NPI number?

The NPI number for Carrie Rydstrom is 1750173886. It was assigned to this individual provider in the NPPES registry on May 22, 2025.

Q: What is Carrie Rydstrom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carrie Rydstrom was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 22, 2025Accepts Medicare Assignment

711 ONYX ST, KEMMERER, WY 83101(307) 877-4496 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2025, May 22, 2025 (2 updates tracked since 2025).

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About Carrie Renee Rydstrom NPPES

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

CARRIE RENEE RYDSTROM (NPI 1750173886) is an individual speech-language pathologist provider in Kemmerer, Wyoming and active in the NPI registry since May 2025. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1750173886

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameCARRIE RENEE RYDSTROM

Location Address711 ONYX STKemmerer, WY 83101-3214

Mailing AddressPo Box 1179Kemmerer, WY 83101-1179 · (605) 670-6215

Phone(307) 877-4496

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMay 22, 2025

Last NPPES UpdateJune 4, 20252 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1750173886 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.

711 ONYX ST, Kemmerer, WY 83101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.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

Carrie Renee Rydstrom 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 ID2365921756

PECOS Enrollment IDI20260205003307

Medicare Billing Reassignment

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

Speakeasy Therapy Services, LLC

457 mi

Speech-Language Pathologist

7425 W AZURE DR STE 140
Las Vegas, NV 89130

Reassigned Medicare billing, Nevada enrollment
33 clinicians in this Medicare group

NPI 1114315801 (702) 515-4009

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.

SOUTH LINCOLN HOSPITAL DISTRICT

General Acute Care Hospital (Rural)

711 ONYX ST
KEMMERER, WY 83101

Lincoln County (307) 877-4401

MR. FRED A BALDWIN P.A.

Physician Assistant

711 ONYX ST
KEMMERER, WY 83101

Lincoln County (307) 877-4496

TAMMY KRELL RN, MSN

Registered Nurse (Diabetes Educator)

711 ONYX ST
KEMMERER, WY 83101

Lincoln County (307) 800-8672

MRS. ANIA MATHEWS PHARMD

Pharmacist

711 ONYX ST
KEMMERER, WY 83101

Lincoln County (307) 877-4401

MR. SCOTT MARTIN ERICKSON M.COUN.,L.P.C. 1010

Counselor (Professional)

711 ONYX ST, OFFICE OF THE DIRECTOR OF QUALITY AND COMPLIANCE
KEMMERER, WY 83101

Lincoln County (307) 877-4496

ERICKSON COUNSELING & COACHING LLC

Counselor (Mental Health)

711 ONYX ST
KEMMERER, WY 83101

Lincoln County (307) 708-2967

MELISSA A FOSTER FNP-C

Nurse Practitioner (Family)

711 ONYX ST
KEMMERER, WY 83101

Lincoln County (307) 877-4496

CHAD WILLIAM SEILER MD

Family Medicine

711 ONYX ST
KEMMERER, WY 83101

Lincoln County (307) 877-4496

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 Carrie Rydstrom's NPI number?

The NPI number for Carrie Rydstrom is 1750173886. It was assigned to this individual provider in the NPPES registry on May 22, 2025.

Where is Carrie Rydstrom located?

Carrie Rydstrom practices at 711 Onyx St, Kemmerer, WY 83101. The listed phone number is (307) 877-4496.

What is Carrie Rydstrom's specialty?

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

Is Carrie Rydstrom enrolled in Medicare?

Yes. Carrie Rydstrom 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 Carrie Rydstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Rydstrom reassigns Medicare benefits to Speakeasy Therapy Services, LLC (Las Vegas, NV). 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 Carrie Rydstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carrie Rydstrom accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Carrie Rydstrom 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 Carrie Rydstrom was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.