TRACI KRISTINE MARTIN MS CCC-SLP
NPI 1770664815
Speech-Language Pathologist in Teutopolis, IL
About Traci Kristine Martin Ms Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACI KRISTINE MARTIN MS CCC-SLP (NPI 1770664815) is an individual speech-language pathologist provider in Teutopolis, Illinois, licensed in Illinois (146008086) and active in the NPI registry since October 2006.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Traci Kristine Martin Ms Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Traci Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Belleville, IL 62220
- Reassigned Medicare billing, Illinois enrollment
- 308 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 Traci Martin's NPI number?
The NPI number for Traci Martin is 1770664815. It was assigned to this individual provider in the NPPES registry on October 17, 2006. The provider is also known as Traci Kristine Gamblin Ms Ccc-Slp.
Where is Traci Martin located?
Traci Martin practices at 114 E Walnut St, Teutopolis, IL 62467. The listed phone number is (720) 545-8160.
What is Traci Martin's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Traci Martin enrolled in Medicare?
Yes. Traci Martin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Traci Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Traci Martin reassigns Medicare benefits to Empowerme Wellness Kansas City, LLC (Belleville, IL). 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 Traci Martin'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 Traci Martin was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Traci Kristine Martin, MS CCC-SLP · NPI 1770664815
Speech-Language Pathologist provider in Teutopolis, Illinois. Individual provider, active in the CMS NPPES registry since October 17, 2006.
## Identity
- **NPI:** 1770664815 (Entity type: Individual)
- **Enumerated:** October 17, 2006
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 146008086 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 114 E WALNUT ST, Teutopolis, IL 62467-1154
- **Phone:** (720) 545-8160
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Empowerme Wellness Kansas City, LLC (NPI 1174118103, Belleville, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1770664815) · Data from the CMS NPPES public registry.