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KAITLYN ROSE SHOULTS M.S., CCC-SLP
NPI 1982294443
Speech-Language Pathologist in Minnetonka, MN

Active since January 19, 2021Accepts Medicare Assignment
10273 YELLOW CIRCLE DR, MINNETONKA, MN 55343(952) 401-9359 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2024, Jan 19, 2021 (2 updates tracked since 2021).

About Kaitlyn Rose Shoults M.s., Ccc-slp NPPES

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

KAITLYN ROSE SHOULTS M.S., CCC-SLP (NPI 1982294443) is an individual speech-language pathologist provider in Minnetonka, Minnesota, licensed in Minnesota (10291) and active in the NPI registry since January 2021. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1982294443
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKAITLYN ROSE SHOULTSCredential: M.S., CCC-SLP
Location Address10273 YELLOW CIRCLE DRMinnetonka, MN 55343-9144
Mailing Address607 Pierce St Ne Apt 1Minneapolis, MN 55413-2742 · (701) 400-5697
Phone(952) 401-9359
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 19, 2021
Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1982294443 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 MN · 10291
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.
10273 YELLOW CIRCLE DR, Minnetonka, MN 55343
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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

Kaitlyn Rose Shoults M.s., 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 ID2567878812
PECOS Enrollment IDI20210310002886

Medicare Billing Reassignment

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

Holland Center
Same address
Day Training, Developmentally Disabled Services
10273 YELLOW CIRCLE DRIVE
Minnetonka, MN 55343
  • Reassigned Medicare billing, Minnesota enrollment
  • 14 clinicians in this Medicare group
NPI 1467641555 (952) 401-9359

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOE TONDA
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359
EMILY ANN KNUDSON
Behavior Analyst
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359
KATHRYN AUTUMN BYZEWSKI
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 215-3753
STEPHANIE TAFT BCBA
Behavior Analyst
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 215-3764
MAKENNA TAYLOR NIEMAN
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359
GRACE MARIE WOLGEMUTH
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359
KATHRYN KRISTINE LIPPITT M.A., BCBA, LBA
Behavior Analyst
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (763) 300-0494
AUBREY ELIZABETH HENDRICKSON
Behavior Technician
10273 YELLOW CIRCLE DR
MINNETONKA, MN 55343
Hennepin County (952) 401-9359

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 Kaitlyn Shoults's NPI number?

The NPI number for Kaitlyn Shoults is 1982294443. It was assigned to this individual provider in the NPPES registry on January 19, 2021.

Where is Kaitlyn Shoults located?

Kaitlyn Shoults practices at 10273 Yellow Circle Dr, Minnetonka, MN 55343. The listed phone number is (952) 401-9359.

What is Kaitlyn Shoults's specialty?

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

Is Kaitlyn Shoults enrolled in Medicare?

Yes. Kaitlyn Shoults 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 Kaitlyn Shoults's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Shoults reassigns Medicare benefits to Holland Center (Minnetonka, MN). 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 Kaitlyn Shoults'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 Kaitlyn Shoults was last updated on October 9, 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.