Stacy Nicole Kisor
NPI 1770829061ActiveIndividual· Speech-Language Pathologist· Las Vegas, NV
Speech-Language Pathologist in Las Vegas, Nevada, licensed in WA, with an NPI issued in December 2012. Medicare paid $17,361 for services to 100 patients in 2024.
Overview
| NPI | 1770829061 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Dec 14, 2012 |
| Last updated in NPPES | Feb 26, 2020 |
| Certified by provider | Feb 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SI 60298212 | WA |
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 (NV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 100 |
|---|---|
| Services billed | 312 across 11 procedure codes |
| Paid by Medicare | $17,361 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
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