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KRISTINA KELSEY
NPI 1972977064
Speech-Language Pathologist in Allendale, IL

Active since November 30, 2015Accepts Medicare Assignment
12898 N 2020 BLVD, ALLENDALE, IL 62410(161) 820-3613 Get Directions Write a Review

NPPES record last updated: November 30, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kristina Kelsey NPPES

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

KRISTINA KELSEY (NPI 1972977064) is an individual speech-language pathologist provider in Allendale, Illinois, licensed in Illinois (146007689) and active in the NPI registry since November 2015. She is a graduate of Other (2002).

NPPES Registry Identity

NPI1972977064
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKRISTINA KELSEY
Location Address12898 N 2020 BLVDAllendale, IL 62410-2014
Mailing Address12898 N 2020 BlvdAllendale, IL 62410-2014 · (161) 820-3613
Phone(161) 820-3613
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 30, 2015
✔ NPI 1972977064 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
License✔ Licensed in IL · 146007689
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.
12898 N 2020 BLVD, Allendale, IL 62410
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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

Kristina Kelsey 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 ID7719352103
PECOS Enrollment IDI20230418000646

Medicare Billing Reassignments

2

Medicare enrollment records show Kristina Kelsey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Empowerme Rehabilitation Illinois, LLC
120 mi
Occupational Therapist
7108 MARINE RD
Edwardsville, IL 62025
  • Reassigned Medicare billing, Illinois enrollment
  • 261 clinicians in this Medicare group
NPI 1679098263 (844) 502-7996
Empowerme Wellness Kansas City, LLC
121 mi
Multi-Specialty
1021 W E ST
Belleville, IL 62220
  • Reassigned Medicare billing, Illinois enrollment
  • 308 clinicians in this Medicare group
NPI 1174118103 (844) 502-7996

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 Kristina Kelsey's NPI number?

The NPI number for Kristina Kelsey is 1972977064. It was assigned to this individual provider in the NPPES registry on November 30, 2015.

Where is Kristina Kelsey located?

Kristina Kelsey practices at 12898 N 2020 Blvd, Allendale, IL 62410. The listed phone number is (161) 820-3613.

What is Kristina Kelsey's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kristina Kelsey enrolled in Medicare?

Yes. Kristina Kelsey 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 organizations bill Medicare for Kristina Kelsey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Kelsey reassigns Medicare benefits to 2 organizations: Empowerme Rehabilitation Illinois, LLC (Edwardsville, IL) and Empowerme Wellness Kansas City, LLC (Belleville, IL). Each 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 Kristina Kelsey'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 Kristina Kelsey was last updated on November 30, 2015. 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.