LYDIA R KRUSE MS, CCC-SLP
NPI 1629686985
Speech-Language Pathologist in Lafayette, IN
NPI Status: Active since July 22, 2020
Contact Information
2320 CONCORD RD STE A
LAFAYETTE, IN
ZIP 47909
Phone: (765) 477-7436
Fax: (765) 477-1245
- Individual
- Female
- Years of Experience 16
- Speech-Language Pathologist
- Accepts Insurance
- Accepts Medicare Approved Payment
About LYDIA KRUSE
This page provides the complete NPI Profile along with additional information for Lydia Kruse, a provider established in Lafayette, Indiana with a medical specialization in Speech-language Pathologist and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1629686985 assigned on July 2020. The practitioner's primary taxonomy code is 235Z00000X with license number 22005444A (IN). The provider is registered as an individual and her NPI record was last updated January 2025.
- NPI
- 1629686985
- Provider Name
- LYDIA R KRUSE MS, CCC-SLP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2320 CONCORD RD STE A LAFAYETTE, IN 47909
- Location Phone
- (765) 477-7436
- Location Fax
- (765) 477-1245
- Mailing Address
- PO BOX 781076 DETROIT, MI 48278
- Mailing Phone
- (317) 528-4800
- Mailing Fax
- (765) 477-1245
- Medical School Name
- OTHER
- Graduation Year
- 2010
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-22-2020
- Last Update Date
- 01-31-2025
- Code Navigator
Location Map
Secondary Locations
- 715 Clinic Dr
West Lafayette, IN 47907
(765) 494-3820
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.
- 22005444A
- License State
- IN
- 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:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
- Anthem Silver Essential 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Lydia Kruse 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: 2365860152
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: I20200910001383
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 LYDIA R KRUSE MS, CCC-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 | 6 | 2 | 9 | 6 | 8 | 6 | 9 | 8 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 4 | 9 | 12 | 8 | 12 | 9 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 4 + 9 + 1 + 2 + 8 + 1 + 2 + 9 + 1 + 6 + 24 = 75 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 75 = 5 | 5 |
The NPI number 1629686985 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1316026545 | PETER J HILLSAMER M.D. Individual | Otolaryngology | 2320 CONCORD RD STE A LAFAYETTE, IN 47909 (765) 477-7436 |
1760109615 | KIMBERLY MARIE SCHMIERER MS Individual | Audiologist | 2320 CONCORD RD STE A LAFAYETTE, IN 47909 (765) 477-7436 |
1578731717 | AARON JOEL DUBERSTEIN MD Individual | Otolaryngology | 2320 CONCORD RD STE A LAFAYETTE, IN 47909 (765) 477-7436 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629686985, enumerated in the NPI registry as an "individual" on July 22, 2020
The provider is located at 2320 Concord Rd Ste A Lafayette, In 47909 and the phone number is (765) 477-7436
The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X
The provider has more than 16 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. 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 July 22, 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.