SHELBY LYNN JACKLOSKI MM, MS, CCC-SLP
NPI 1902584063
Speech-Language Pathologist in Charlotte, NC

Q: What is Shelby Jackloski's NPI number?

The NPI number for Shelby Jackloski is 1902584063. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Q: What is Shelby Jackloski'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 Shelby Jackloski was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 10, 2023Accepts Medicare Assignment

6035 FAIRVIEW RD, CHARLOTTE, NC 28210(704) 295-3000(704) 295-3468 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Shelby Lynn Jackloski Mm, Ms, Ccc-slp NPPES

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

SHELBY LYNN JACKLOSKI MM, MS, CCC-SLP (NPI 1902584063) is an individual speech-language pathologist provider in Charlotte, North Carolina, licensed in North Carolina (30003454) and active in the NPI registry since July 2023. She maintains a secondary practice location in Huntersville and is a graduate of Other (2022).

NPPES Registry Identity

NPI1902584063

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSHELBY LYNN JACKLOSKICredential: MM, MS, CCC-SLP

Location Address6035 FAIRVIEW RDCharlotte, NC 28210-3256

Mailing Address6035 Fairview RdCharlotte, NC 28210-3256 · (704) 295-3000 · Fax (704) 295-3468

Phone(704) 295-3000

Fax(704) 295-3468

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 10, 2023

Last NPPES UpdateOctober 15, 2024

NPPES CertifiedOctober 15, 2024

✔ NPI 1902584063 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 NC · 30003454✔ Licensed in FL · SZ11299

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.

6035 FAIRVIEW RD, Charlotte, NC 28210

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Secondary Practice Location 1

Location 110305 Hamptons Park Dr Ste 201Huntersville, NC 28078-7222 · Phone (704) 295-3600 · Fax (704) 892-3181

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Molina Healthcare, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

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

Shelby Lynn Jackloski Mm, Ms, 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.

PECOS PAC ID5890155147

PECOS Enrollment IDI20241203002797

Medicare Billing Reassignment

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

Charlotte Eye Ear Nose & Throat Associates, P.A.

Same address

Ophthalmology

6035 FAIRVIEW RD
Charlotte, NC 28210

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Charlotte Eye Ear Nose & Throat Associates PA
181 clinicians in this Medicare group

NPI 1043287469 (704) 295-3000

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 3

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.

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507

This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.

105 services33 patients

Study of voice box function 92520

The study of voice box function, or laryngoscopy, involves examining your voice box, or larynx, to assess its health and function. It helps identify issues like voice disorders, throat pain, or breathing problems. It's a non-invasive, painless procedure done by a medical professional.

23 services23 patients

Analysis of voice and resonance production 92524

Analysis of voice and resonance production is a medical procedure that evaluates your voice and the quality of sound produced when you speak. It helps identify any abnormalities or changes in your voice, which could be due to various health conditions.

23 services23 patients

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.

LUKAS DAVID DUMBERGER MD

Otolaryngology