MRS. PAMELA LISTLE MSCCSLP
NPI 1841467636
Speech-Language Pathologist in Black River Falls, WI

Active since May 12, 2008
711 WEST ADAMS ST., BLACK RIVER FALLS, WI 54615(715) 284-5361(715) 284-7166 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Pamela Listle Msccslp NPPES

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

MRS. PAMELA LISTLE MSCCSLP (NPI 1841467636) is an individual speech-language pathologist provider in Black River Falls, Wisconsin, licensed in Wisconsin (721-154) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1841467636
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. PAMELA LISTLECredential: MSCCSLP
Location Address711 WEST ADAMS ST.Black River Falls, WI 54615
Mailing Address711 West Adams St.Black River Falls, WI 54615 · (715) 284-5361 · Fax (715) 284-7166
Fax(715) 284-7166
Sole ProprietorNo
Enumeration DateMay 12, 2008
Last NPPES UpdateDecember 14, 2016
✔ NPI 1841467636 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 WI · 721-154
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 WEST ADAMS ST., Black River Falls, WI 54615

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Pamela Listle Msccslp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Physical Therapist
106 S HOLMEN DR, SUITE 2
Holmen, WI 54636
  • Reassigned Medicare billing, Wisconsin enrollment
  • 13 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 Pamela Listle's NPI number?

The NPI number for Pamela Listle is 1841467636. It was assigned to this individual provider in the NPPES registry on May 12, 2008.

Where is Pamela Listle located?

Pamela Listle practices at 711 West Adams St., Black River Falls, WI 54615. The listed phone number is (715) 284-5361.

What is Pamela Listle's specialty?

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

Is Pamela Listle enrolled in Medicare?

Yes. Pamela Listle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pamela Listle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Listle reassigns Medicare benefits to Achieve Solutions, Inc. (Holmen, WI). 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 Pamela Listle'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 Pamela Listle was last updated on December 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.