CARISSA WOODDELL MS CCC-SLP
NPI 1699230813
Speech-Language Pathologist in Mendota, IL

NPI Status: Active since February 01, 2019

Contact Information

1401 E 12TH ST
MENDOTA, IL
ZIP 61342
Phone: (815) 539-1409

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  • Individual
  • Female
  • Years of Experience 11
  • Speech-Language Pathologist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About CARISSA WOODDELL

This page provides the complete NPI Profile along with additional information for Carissa Wooddell, a provider established in Mendota, Illinois with a medical specialization in Speech-language Pathologist and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1699230813 assigned on February 2019. The practitioner's primary taxonomy code is 235Z00000X with license number 146013301 (IL). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1699230813
Provider Name
CARISSA WOODDELL MS CCC-SLP
Gender
Female
Entity Type
Individual
Location Address
1401 E 12TH ST MENDOTA, IL 61342
Location Phone
(815) 539-1409
Mailing Address
26556 N 400 EAST RD ANCONA, IL 61311
Mailing Phone
(815) 992-0376
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
02-01-2019
Last Update Date
09-07-2023
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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.
146013301
License State
IL
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:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Carissa Wooddell 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: 8426402926

    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: I20231003001269

    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.

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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.
1699230813
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2618943082
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 4 + 3 + 0 + 8 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1699230813 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174888275 JARED M WISE PT
Individual
Physical Therapist1401 E 12TH ST
MENDOTA, IL 61342
(815) 539-1409
1457616559 FRANKLIN J DURO PT
Individual
Physical Therapist1401 E 12TH ST
MENDOTA, IL 61342
(815) 539-1409
1891121323 ASHLEE HOFF OTR
Individual
Occupational Therapist1401 E 12TH ST
MENDOTA, IL 61342
(815) 539-1409
1629404157 REID BALTIKAUSKI DPT
Individual
Physical Therapist1401 E 12TH ST
MENDOTA, IL 61342
(815) 539-1409
1659772242 KRISTI GONZALES PA-C
Individual
Physician Assistant1401 E 12TH ST
MENDOTA, IL 61342
(815) 538-7200
1376879122MR. RICHARD JOSPEH BAKER
Individual
Nurse Anesthetist, Certified Registered1401 E 12TH ST
MENDOTA, IL 61342
(815) 875-6001
1922457118 MARISSA GATZA C.O.T.A.
Individual
Occupational Therapy Assistant1401 E 12TH ST
MENDOTA, IL 61342
(815) 539-1620
1770975377NATIONAL PAIN CLINIC, LLC
Organization
Anesthesiology (Pain Medicine)1401 E 12TH ST
MENDOTA, IL 61342
(815) 539-1422
1073869475MRS. KATHERINE ROSE RIVA-FOSTER CRNA
Individual
Nurse Anesthetist, Certified Registered1401 E 12TH ST
MENDOTA, IL 61342
(815) 343-1925
1578197513 TRACIE R KELLY APRN
Individual
Nurse Practitioner (Family)1401 E 12TH ST
MENDOTA, IL 61342
(815) 539-7461
1275277642 SELENA WAIDO
Individual
Physical Therapy Assistant1401 E 12TH ST
MENDOTA, IL 61342
(815) 539-1409
1003502733 SARA ANN BURD DPT
Individual
Physical Medicine & Rehabilitation1401 E 12TH ST
MENDOTA, IL 61342
(815) 539-7461

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699230813, enumerated in the NPI registry as an "individual" on February 01, 2019

The provider is located at 1401 E 12th St Mendota, Il 61342 and the phone number is (815) 539-1409

The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X

The provider has more than 11 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. 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 February 01, 2019. 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.