TIM VAN DER PERREN
NPI 1972615292
Speech-Language Pathologist in Oconto, WI
About Tim Van Der Perren NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIM VAN DER PERREN (NPI 1972615292) is an individual speech-language pathologist provider in Oconto, Wisconsin, licensed in Wisconsin (1928-154) and active in the NPI registry since August 2006.
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)
Tim Van Der Perren is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tim Van Der Perren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oconto Falls, WI 54154
- Reassigned Medicare billing, Wisconsin enrollment
- 216 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OCONTO, WI 54153
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 Tim Van Der Perren's NPI number?
The NPI number for Tim Van Der Perren is 1972615292. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Tim Van Der Perren located?
Tim Van Der Perren practices at 501 Park Ave, Oconto, WI 54153. The listed phone number is (920) 834-6875.
What is Tim Van Der Perren's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Tim Van Der Perren enrolled in Medicare?
Yes. Tim Van Der Perren is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tim Van Der Perren's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tim Van Der Perren reassigns Medicare benefits to St. Clare Memorial Hospital, Inc (Oconto Falls, WI). 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 Tim Van Der Perren'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 Tim Van Der Perren was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Tim Van Der Perren · NPI 1972615292
Speech-Language Pathologist provider in Oconto, Wisconsin. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1972615292 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 1928-154 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 PARK AVE, Oconto, WI 54153-1612
- **Phone:** (920) 834-6875
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** St. Clare Memorial Hospital, Inc (NPI 1417316738, Oconto Falls, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1972615292) · Data from the CMS NPPES public registry.