LISA PEDERSON SLP
NPI 1851485429
Speech-Language Pathologist in Libertyville, IL

Q: What is Lisa Pederson's NPI number?

The NPI number for Lisa Pederson is 1851485429. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Lisa Pederson'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 Lisa Pederson was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 03, 2006

1870 W WINCHESTER RD, 203, LIBERTYVILLE, IL 60048(847) 816-7200(847) 816-7210 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2026, Nov 14, 2016 (2 updates tracked since 2016).

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About Lisa Pederson Slp NPPES

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

LISA PEDERSON SLP (NPI 1851485429) is an individual speech-language pathologist provider in Libertyville, Illinois, licensed in Wisconsin (3573-154) and active in the NPI registry since October 2006. She maintains a secondary practice location in Marinette.

NPPES Registry Identity

NPI1851485429

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameLISA PEDERSONCredential: SLP

Location Address1870 W WINCHESTER RD, 203Libertyville, IL 60048-5358

Mailing Address1870 W Winchester Rd, 203Libertyville, IL 60048-5358 · (847) 816-7200 · Fax (847) 816-7210

Phone(847) 816-7200

Fax(847) 816-7210

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1851485429 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

Licenses✔ Licensed in WI · 3573-154✔ Licensed in IL · 146008640

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.

1870 W WINCHESTER RD, Libertyville, IL 60048

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Secondary Practice Location 1

Location 12820 Roosevelt RdMarinette, WI 54143-3834 · Phone (715) 735-5225

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Pederson Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

Medicare enrollment records show Lisa Pederson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Memorial Hospital Inc

124 mi

Family Medicine

3415 CALUMET AVE
Manitowoc, WI 54220

Reassigned Medicare billing, Wisconsin enrollment
875 clinicians in this Medicare group

NPI 1992878730 (920) 445-7377

Oconto Hospital & Medical Center Inc

151 mi

Rural Health

575 4TH ST
Kewaunee, WI 54216

Reassigned Medicare billing, Wisconsin enrollment
573 clinicians in this Medicare group

NPI 1053279091 (920) 388-4640

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.

ALYSSA L FUGGITI CCC-SLP/L

Speech-Language Pathologist

1870 W WINCHESTER RD, SUITE 203
LIBERTYVILLE, IL 60048

Lake County (847) 816-7200

MARGOT GREENWALD CCC-SLP

Speech-Language Pathologist

1870 W WINCHESTER RD, SUITE 203
LIBERTYVILLE, IL 60048

Lake County (847) 816-7200

LAUREN KLISKA OTR/L

Occupational Therapist

1870 W WINCHESTER RD, STE 203
LIBERTYVILLE, IL 60048

Lake County (847) 816-7200

HILARY KUGLER CF-SLP/L

Speech-Language Pathologist

1870 W WINCHESTER RD, STE 203
LIBERTYVILLE, IL 60048

Lake County (847) 816-7200

RAFA S ADI MD LTD

Internal Medicine

1870 W WINCHESTER RD, SUITE 246
LIBERTYVILLE, IL 60048

Lake County (847) 362-5344

DR. WILLIAM A MARTINEZ MD

Family Medicine

1870 W WINCHESTER RD, SUITE 145
LIBERTYVILLE, IL 60048

Lake County (847) 996-0700

ROSEMARY H TENTES OTR/L

Occupational Therapist

1870 W WINCHESTER RD, SUITE 203
LIBERTYVILLE, IL 60048

Lake County (847) 816-7200

NORTH SUBURBAN HEALTH CARE LTD

Internal Medicine

1870 W WINCHESTER RD, SUITE 248
LIBERTYVILLE, IL 60048

Lake County (847) 913-9434

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 Lisa Pederson's NPI number?

The NPI number for Lisa Pederson is 1851485429. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Lisa Pederson located?

Lisa Pederson practices at 1870 W Winchester Rd 203, Libertyville, IL 60048. The listed phone number is (847) 816-7200.

What is Lisa Pederson's specialty?

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

Is Lisa Pederson enrolled in Medicare?

Yes. Lisa Pederson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Pederson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Pederson reassigns Medicare benefits to 2 organizations: Bellin Memorial Hospital Inc (Manitowoc, WI) and Oconto Hospital & Medical Center Inc (Kewaunee, WI). Each 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 Lisa Pederson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Pederson accept?

Health plans from CareSource (Common Ground Healthcare) list Lisa Pederson 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 Lisa Pederson was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.