Kennedy Weiland
NPI 1396121125ActiveIndividual· Speech-Language Pathologist· Mitchell, SD
Speech-Language Pathologist with Avera Queen of Peace, practicing in Mitchell, South Dakota. Medicare paid $3,688 for services to 13 patients in 2024.
Overview
| NPI | 1396121125 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 4, 2015 |
| Last updated in NPPES | Aug 4, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 593-PROV | SD |
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 (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 56 across 5 procedure codes |
| Paid by Medicare | $3,688 |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Avera Queen of PeaceMitchell, SD · 122 clinicians
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