ABIGAIL GRACE SHELTON SLP
NPI 1124628326
Speech-Language Pathologist in Spokane, WA
NPI Status: Active since October 27, 2020
Contact Information
319 S CEDAR ST
SPOKANE, WA
ZIP 99201
Phone: (509) 209-7429
Fax: (509) 340-9942
- Individual
- Female
- Years of Experience 7
- Speech-Language Pathologist
- Accepts Insurance
- Accepts Medicare Approved Payment
About ABIGAIL SHELTON
This page provides the complete NPI Profile along with additional information for Abigail Shelton, a provider established in Spokane, Washington with a medical specialization in Speech-language Pathologist and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1124628326 assigned on October 2020. The practitioner's primary taxonomy code is 235Z00000X with license number LL61110974 (WA). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1124628326
- Provider Name
- ABIGAIL GRACE SHELTON SLP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 319 S CEDAR ST SPOKANE, WA 99201
- Location Phone
- (509) 209-7429
- Location Fax
- (509) 340-9942
- Mailing Address
- 319 S CEDAR ST SPOKANE, WA 99201
- Mailing Phone
- (509) 209-7429
- Mailing Fax
- (509) 340-9942
- Medical School Name
- OTHER
- Graduation Year
- 2019
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-27-2020
- Last Update Date
- 10-27-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- LL61110974
- License State
- WA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| LL61110974 | OTHER (01) | WA | STATE LICENSE |
Medicare Participation & PECOS Enrollment Status
Abigail Shelton is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 3173054665
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20241008003960
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for ABIGAIL GRACE SHELTON SLP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 6 | 2 | 8 | 3 | 2 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 12 | 2 | 16 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 1 + 2 + 2 + 1 + 6 + 3 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1124628326 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1558748194 | BRANDEN MOUNT MS/CCC-SLP Individual | Speech-Language Pathologist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1841735834 | SSPT CLINIC Organization | Occupational Therapist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1295262319 | CAITLIN MCCASLIN M.S, CCC-SLP Individual | Speech-Language Pathologist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1730672155 | MRS. LINDSEY MARIE MESSERSCHMIDT MS, CCC-SLP Individual | Speech-Language Pathologist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1265912992 | ASHLEY AGEN OTR/L Individual | Occupational Therapist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1689235327 | MARISSA LYNN CARDENAS Individual | Speech-Language Pathologist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1972081487 | STEPHANIE ALYSE GREVING DPT Individual | Physical Therapist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1700326345 | MS. CASSANDRA JO CLEARY MS,CCC-SLP Individual | Speech-Language Pathologist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1780199513 | TIM LEDBETTER LMHC Individual | Counselor (Mental Health) | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1942727839 | STACEY WONG DPT Individual | Physical Therapist (Pediatrics) | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1164056800 | BRETT MICHAEL HOBLIN OTR/L Individual | Occupational Therapist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1780031401 | LAUREN HEREFORD M.S. CCC-SLP Individual | Speech-Language Pathologist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1427221761 | STEPPING STONES PEDIATRIC THERAPY Organization | Occupational Therapist (Pediatrics) | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1932621455 | JAYME LIBBY DPT Individual | Physical Therapist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1053942342 | RACHEL MICHELLE PATTON Individual | Occupational Therapist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1942886205 | EMILY MARKHAM OTR/L Individual | Occupational Therapist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1487230355 | LAUREN M LARSON OTR/L Individual | Occupational Therapist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1497328827 | TY-MICHAEL ORLAN NELSON OTD, OTR/L Individual | Occupational Therapist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1437828332 | BRITTNEY GATELY DPT Individual | Physical Therapist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
| 1427705672 | EMMA ELIZABETH BROWN SLP Individual | Speech-Language Pathologist | 319 S CEDAR ST SPOKANE, WA 99201 (509) 209-7429 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124628326, enumerated in the NPI registry as an "individual" on October 27, 2020
The provider is located at 319 S Cedar St Spokane, Wa 99201 and the phone number is (509) 209-7429
The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X
The provider has more than 7 years of experience.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 27, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.