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Angie Dawn Ellenbecker , SLP

Speech-Language Pathologist β€’ Madison, TN

Active NPI 1457518417 Individual Practitioner Female Practitioner
Practice location in NPPES

1994 Gallatin Pike N Ste 309
Madison, TN 371152025

Call 6155961830 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

1994 Gallatin Pike N Ste 309

Madison, TN 371152025

Telephone 6155961830
Fax 6157668277
Organization at the Same NPPES Address or Phone
Ellenbecker And Borsellino Pllc Facility NPI 1215499447

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Las Vegas, NV. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2008

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)

Angie Ellenbecker 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 Madison and Tennessee

24 active clinicians are listed under Speech-Language Pathologist with a practice address in Madison, TN (3,731 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Madison

0% of these 24 clinicians have the CMS telehealth indicator.

8.3% of these 24 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES TN ST5779

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES NV 1179

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: Tennessee Department of Health License Verification.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1457518417 (NV)

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

I20190614001636

Enrollment State Jurisdiction

TN

PECOS Control ID

4880927326

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

Secondary Practice Locations

5008 Cascade Pools Ave

Las Vegas, NV 891313626

Phone: 7022037504

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location April 12, 2019

Registered at 1994 GALLATIN PIKE N STE 309, MADISON, TN 371152025 (Tel: 6155961830)

πŸ“
Updated Business Mailing Address April 12, 2019

Registered at 513 SALT LICK TRL, GOODLETTSVILLE, TN 370723321 (Tel: 6155961830)

βœ…
NPI Profile Active May 19, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 19, 2008

Registered at 5008 CASCADE POOLS AVE, LAS VEGAS, NV 891313626 (Tel: 7022037504)

πŸ“
Business Mailing Address (Initial Record) May 19, 2008

Registered at 5008 CASCADE POOLS AVE, LAS VEGAS, NV 891313626 (Tel: 7022037504)

πŸ‘€
Provider Name / Credentials (Initial Record) May 19, 2008

Recorded as ANGIE ELLENBECKER, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2008

Speech-Language Pathologist (license number reported to NPPES: NV 1179)

🟒
Initial NPI Registration & Enumeration May 19, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457518417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2008
Last Update: April 12, 2019
Sole Proprietor: Yes

Mailing Address

513 Salt Lick Trl

Goodlettsville, TN 370723321

Phone: 6155961830

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.