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Devon Amanda Idalski , MS, CCC-SLP

Speech-Language Pathologist β€’ Alpena, MI

Active NPI 1043666993 Individual Practitioner Female Practitioner
Practice location in NPPES

109 N 2nd Ave Ste 203
Alpena, MI 497075305

Call 9892788747 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

109 N 2nd Ave Ste 203

Alpena, MI 497075305

Telephone 9892788747
Fax 9893316705
Organization at the Same NPPES Address or Phone
Channels Rehabilitation Llc Facility NPI 1235883711

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Alpena and Michigan

12 active clinicians are listed under Speech-Language Pathologist with a practice address in Alpena, MI (3,736 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Alpena

0% of these 12 clinicians have the CMS telehealth indicator.

8.3% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-01
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MI 7101005109

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Professional License
7101005109 (MI)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ‘€
Provider Name / Credentials Updated December 01, 2022

Recorded as DEVON IDALSKI, MS, CCC-SLP

πŸ“
Updated Practice Location February 04, 2022

Registered at 109 N 2ND AVE STE 203, ALPENA, MI 497075305 (Tel: 9892788747)

πŸ“
Updated Business Mailing Address February 04, 2022

Registered at 16461 PINE ST, PRESQUE ISLE, MI 497778653 (Tel: 8103050627)

πŸ‘€
Provider Name / Credentials Updated February 04, 2022

Recorded as DEVON BURKE, MS, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2022

Speech-Language Pathologist (license number reported to NPPES: MI 7101005109)

βœ…
NPI Profile Active May 10, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 10, 2016

Registered at 124 W FOURTH ST, SUTTONS BAY, MI 496829733 (Tel: 2312712273)

πŸ“
Business Mailing Address (Initial Record) May 10, 2016

Registered at 134 E FRONT ST, APT. 4, TRAVERSE CITY, MI 496842509 (Tel: 8103050627)

πŸ‘€
Provider Name / Credentials (Initial Record) May 10, 2016

Recorded as DEVON BURKE, C.F., SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2016

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration May 10, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043666993
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2016
Last Update: December 01, 2022
Sole Proprietor: No

Mailing Address

16461 Pine St

Presque Isle, MI 497778653

Phone: 8103050627

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.