Alison Van Brocklin
NPI 1689179319ActiveIndividual· Speech-Language Pathologist· Batesville, MS
Speech-Language Pathologist with Healthpro Heritage Rehab and Fitness LLC, practicing in Batesville, Mississippi. Medicare paid $3,327 for services to 15 patients in 2024.
Overview
| NPI | 1689179319 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 26, 2018 |
| Last updated in NPPES | Mar 26, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | S4364 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 173 across 4 procedure codes |
| Paid by Medicare | $3,327 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Healthpro Heritage Rehab and Fitness LLCKingwood, TX · 969 clinicians
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