Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Ellen Wegener , MS CCC SLP

Speech-Language Pathologist β€’ Grand Rapids, MI

Active NPI 1366172199 Individual Practitioner Female Practitioner
Practice location in NPPES

4467 Byron Center Ave Sw
Grand Rapids, MI 495194808

Call 6165529544 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

4467 Byron Center Ave Sw

Grand Rapids, MI 495194808

Telephone 6165529544

NPI first issued

2022

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 Grand Rapids and Michigan

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grand Rapids

0.4% of these 278 clinicians have the CMS telehealth indicator.

2.5% of these 278 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: 2024-04-03
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA21384

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

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location April 03, 2024

Registered at 4467 BYRON CENTER AVE SW, GRAND RAPIDS, MI 495194808 (Tel: 6165529544)

πŸ“
Updated Business Mailing Address April 03, 2024

Registered at 150 MAYFIELD AVE NE, GRAND RAPIDS, MI 495033767 (Tel: 2488606895)

πŸ‘€
Provider Name / Credentials Updated April 20, 2023

Recorded as ELLEN WEGENER, M.S. CCC SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2023

Speech-Language Pathologist (license number reported to NPPES: FL SA21384)

βœ…
NPI Profile Active June 14, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 14, 2022

Registered at 1219 DUNN AVE, DAYTONA BEACH, FL 321142405 (Tel: 3862554568)

πŸ“
Business Mailing Address (Initial Record) June 14, 2022

Registered at 240 N AIRPORT RD, NEW SMYRNA BEACH, FL 321685373

πŸ‘€
Provider Name / Credentials (Initial Record) June 14, 2022

Recorded as ELLEN WEGENER, M.S. CF SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2022

Speech-Language Pathologist (license number reported to NPPES: FL SZ10652)

🟒
Initial NPI Registration & Enumeration June 14, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1366172199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2022
Last Update: April 03, 2024
Sole Proprietor: No

Mailing Address

150 Mayfield Ave Ne

Grand Rapids, MI 495033767

Phone: 2488606895

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.