Kelly Baer, SLP
NPI 1457008260ActiveIndividual· Speech-Language Pathologist· Mesa, AZ
Speech-Language Pathologist (SLP) with Petersen Physical Therapy PC, practicing in Mesa, Arizona. Medicare paid $50,015 for services to 40 patients in 2024.
Overview
| NPI | 1457008260 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | SLP |
| Sole proprietor | No |
| NPI issued | Mar 2, 2022 |
| Last updated in NPPES | Nov 8, 2022 |
| Certified by provider | Nov 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SLP12141 | AZ |
| Speech-Language Pathologist | 235Z00000X | 41YS00815200 | NJ |
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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 40 |
|---|---|
| Services billed | 840 across 3 procedure codes |
| Paid by Medicare | $50,015 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Petersen Physical Therapy PCTempe, AZ · 14 clinicians
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