Shaun M. Hiemstra, M.S., CCC-SLP
NPI 1013123942ActiveIndividual· Speech-Language Pathologist· Ravenna, NE
Speech-Language Pathologist (M.S., CCC-SLP) with Family Physical Therapy and Sports Center, practicing in Ravenna, Nebraska. Medicare paid $53,248 for services to 78 patients in 2024.
Overview
| NPI | 1013123942 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., CCC-SLP |
| Sole proprietor | No |
| NPI issued | May 15, 2007 |
| Last updated in NPPES | Oct 24, 2022 |
| Certified by provider | Oct 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 887 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 78 |
|---|---|
| Services billed | 910 across 12 procedure codes |
| Paid by Medicare | $53,248 |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Family Physical Therapy and Sports CenterLexington, NE · 36 clinicians
Other Speech-Language Pathologist providers in Ravenna
- 1780053371
- 1902277411
- 1770237349