KAREN TREMBLE
NPI 1972054658
Speech-Language Pathologist in Agawam, MA
About Karen Tremble NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN TREMBLE (NPI 1972054658) is an individual speech-language pathologist provider in Agawam, Massachusetts, licensed in Massachusetts (8792) and active in the NPI registry since October 2016. She is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Karen Tremble 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 Karen Tremble reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wilbraham, MA 01095
- Reassigned Medicare billing, Massachusetts enrollment
- 3 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 Karen Tremble's NPI number?
The NPI number for Karen Tremble is 1972054658. It was assigned to this individual provider in the NPPES registry on October 18, 2016. The provider is also known as Karen Welch.
Where is Karen Tremble located?
Karen Tremble practices at 74 Blairs Hill Rd, Agawam, MA 01001. The listed phone number is (339) 225-1847.
What is Karen Tremble's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Karen Tremble enrolled in Medicare?
Yes. Karen Tremble 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 Karen Tremble's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Tremble reassigns Medicare benefits to Pioneer Valley Speech And Swallowing Solutions LLC (Wilbraham, MA). 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 Karen Tremble'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 Karen Tremble was last updated on October 18, 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.
# Karen Tremble · NPI 1972054658
Speech-Language Pathologist provider in Agawam, Massachusetts. Individual provider, active in the CMS NPPES registry since October 18, 2016.
## Identity
- **NPI:** 1972054658 (Entity type: Individual)
- **Enumerated:** October 18, 2016
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 8792 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 74 BLAIRS HILL RD, Agawam, MA 01001-2289
- **Phone:** (339) 225-1847
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Pioneer Valley Speech And Swallowing Solutions LLC (NPI 1093250581, Wilbraham, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** October 18, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1972054658) · Data from the CMS NPPES public registry.