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JACLYN STOKES PLACK M. S. CF-SLP
NPI 1811214604
Speech-Language Pathologist in Tallahassee, FL

Active since May 03, 2010Accepts Medicare Assignment
1425 VLG SQ BLVD, SUITE 3, TALLAHASSEE, FL 32312(850) 431-7122 Get Directions Write a Review

NPPES record last updated: October 29, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jaclyn Stokes Plack M. S. Cf-slp NPPES

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

JACLYN STOKES PLACK M. S. CF-SLP (NPI 1811214604) is an individual speech-language pathologist provider in Tallahassee, Florida, licensed in Florida (SZ 6860) and active in the NPI registry since May 2010. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1811214604
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACLYN STOKES PLACKCredential: M. S. CF-SLP
Location Address1425 VLG SQ BLVD, SUITE 3Tallahassee, FL 32312-1271
Mailing Address1425 Vlg Sq Blvd, Suite 3Tallahassee, FL 32312-1271 · (850) 431-7122
Phone(850) 431-7122
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 3, 2010
Last NPPES UpdateOctober 29, 2014
✔ NPI 1811214604 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
License✔ Licensed in FL · SZ 6860
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.
1425 VLG SQ BLVD, Tallahassee, FL 32312
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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 and accepts Medicare assignment

Jaclyn Stokes Plack M. S. 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 ID1052853447
PECOS Enrollment IDI20240613001052

Medicare Billing Reassignment

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

Next Pt Group Florida, LLC
158 mi
Physical Therapist
1661 SE 31ST ST UNIT 3
Ocala, FL 34471
  • Reassigned Medicare billing, Florida enrollment
  • 55 clinicians in this Medicare group
NPI 1730666355 (631) 220-1581

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 Jaclyn Plack's NPI number?

The NPI number for Jaclyn Plack is 1811214604. It was assigned to this individual provider in the NPPES registry on May 3, 2010.

Where is Jaclyn Plack located?

Jaclyn Plack practices at 1425 Vlg Sq Blvd Suite 3, Tallahassee, FL 32312. The listed phone number is (850) 431-7122.

What is Jaclyn Plack's specialty?

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

Is Jaclyn Plack enrolled in Medicare?

Yes. Jaclyn Plack 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 Jaclyn Plack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Plack reassigns Medicare benefits to Next Pt Group Florida, LLC (Ocala, FL). 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 Jaclyn Plack'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 Jaclyn Plack was last updated on October 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.