KELLY MIKODA M. A. CCC-SLP
NPI 1962857946
Speech-Language Pathologist in Batavia, IL
About Kelly Mikoda M. A. Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY MIKODA M. A. CCC-SLP (NPI 1962857946) is an individual speech-language pathologist provider in Batavia, Illinois, licensed in Illinois (146007648) and active in the NPI registry since April 2016. She is a graduate of Other (2002).
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 (PECOS)
Kelly Mikoda M. A. Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Mikoda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Batavia, IL 60510
- Reassigned Medicare billing, Illinois enrollment
- 20 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Mikoda's NPI number?
The NPI number for Kelly Mikoda is 1962857946. It was assigned to this individual provider in the NPPES registry on April 27, 2016.
Where is Kelly Mikoda located?
Kelly Mikoda practices at 1260 Averill Dr, Batavia, IL 60510. The listed phone number is (630) 673-0221.
What is Kelly Mikoda's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Kelly Mikoda enrolled in Medicare?
Yes. Kelly Mikoda is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Mikoda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mikoda reassigns Medicare benefits to Northern Illinois University (Batavia, IL). 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 Kelly Mikoda'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 Kelly Mikoda was last updated on April 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kelly Mikoda, M. A. CCC-SLP · NPI 1962857946
Speech-Language Pathologist provider in Batavia, Illinois. Individual provider, active in the CMS NPPES registry since April 27, 2016.
## Identity
- **NPI:** 1962857946 (Entity type: Individual)
- **Enumerated:** April 27, 2016
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 146007648 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1260 AVERILL DR, Batavia, IL 60510-3596
- **Phone:** (630) 673-0221
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Northern Illinois University (NPI 1144327487, Batavia, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** April 27, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1962857946) · Data from the CMS NPPES public registry.