KATELYN JACQUES CCC-SLP
NPI 1891391769
Speech-Language Pathologist in Lisbon, ME
About Katelyn Jacques Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN JACQUES CCC-SLP (NPI 1891391769) is an individual speech-language pathologist provider in Lisbon, Maine, licensed in Maine (SP2670) and active in the NPI registry since December 2020. She is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
Katelyn Jacques Ccc-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.
Medicare Billing Reassignment
Medicare enrollment records show Katelyn Jacques reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- 99 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Katelyn Jacques's NPI number?
The NPI number for Katelyn Jacques is 1891391769. It was assigned to this individual provider in the NPPES registry on December 7, 2020.
Where is Katelyn Jacques located?
Katelyn Jacques practices at 48 Beech St, Lisbon, ME 04250. The listed phone number is (207) 240-8656.
What is Katelyn Jacques's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Katelyn Jacques enrolled in Medicare?
Yes. Katelyn Jacques 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 Katelyn Jacques's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Jacques reassigns Medicare benefits to Androscoggin Home Health Services, Inc (Lewiston, ME). 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 Katelyn Jacques'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 Katelyn Jacques was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Katelyn Jacques, CCC-SLP · NPI 1891391769
Speech-Language Pathologist provider in Lisbon, Maine. Individual provider, active in the CMS NPPES registry since December 7, 2020.
## Identity
- **NPI:** 1891391769 (Entity type: Individual)
- **Enumerated:** December 7, 2020
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** SP2670 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 48 BEECH ST, Lisbon, ME 04250-6476
- **Phone:** (207) 240-8656
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Androscoggin Home Health Services, Inc (NPI 1013957687, Lewiston, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** December 7, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1891391769) · Data from the CMS NPPES public registry.