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Payton Kuklok

Speech-Language Pathologist β€’ Saint Cloud, MN

Active NPI 1558059261 Individual Practitioner Female Practitioner
Practice location in NPPES

1900 Centracare Cir
Saint Cloud, MN 563035000

Call 3202512700 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

1900 Centracare Cir

Saint Cloud, MN 563035000

Telephone 3202512700
Organization at the Same NPPES Address or Phone
Centracare Clinic Facility NPI 1407858020

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

NPI first issued

2023

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

Enrolled in Medicare (PECOS)

Payton Kuklok has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Saint Cloud and Minnesota

53 active clinicians are listed under Speech-Language Pathologist with a practice address in Saint Cloud, MN (3,083 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Cloud

0% of these 53 clinicians have the CMS telehealth indicator.

13.2% of these 53 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: 2024-01-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20230804001852

Enrollment State Jurisdiction

MN

PECOS Control ID

5294196325

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

18 listed
Dr. Lucas Bachmann , MD

Psychiatry & Neurology - Psychiatry

NPI 1003137449

Doctor of Medicine (M.D.)

Todd Belling , RN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1114918695

Registered Nurse, Certified Registered Nurse Anesthetist

Kalie Bisel , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043840036

Certified Registered Nurse Anesthetist

Charles Doucet , CRNA

Nurse Anesthetist, Certified Registered

NPI 1063444149

Certified Registered Nurse Anesthetist

Dr. Matthew Eggebrecht , MD

Internal Medicine - Hospice and Palliative Medicine

NPI 1073962395

Doctor of Medicine (M.D.)

Dr. Amelia Fierro-Fine , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1013353358

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location January 09, 2024

Registered at 1900 CENTRACARE CIR, SAINT CLOUD, MN 563035000 (Tel: 3202512700)

πŸ“
Updated Business Mailing Address January 09, 2024

Registered at 1900 CENTRACARE CIR, SAINT CLOUD, MN 563035000

πŸ‘€
Provider Name / Credentials Updated January 09, 2024

Recorded as PAYTON KUKLOK

βœ…
NPI Profile Active May 01, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 01, 2023

Registered at 7505 COUNTRY CLUB DR, GOLDEN VALLEY, MN 554274501 (Tel: 7634506900)

πŸ“
Business Mailing Address (Initial Record) May 01, 2023

Registered at 12014 40TH AVE, BECKER, MN 553082608

πŸ‘€
Provider Name / Credentials (Initial Record) May 01, 2023

Recorded as PAYTON HOLLISTER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2023

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration May 01, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558059261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2023
Last Update: January 09, 2024
Sole Proprietor: No

Other Speech-Language Pathologists in Saint Cloud

All Speech-Language Pathologists in Saint Cloud

Mailing Address

1900 Centracare Cir

Saint Cloud, MN 563035000

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.