Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629500319 Individual Practitioner Female Practitioner

Nicole Wiltz , MS, CCC-SLP

Speech-Language Pathologist • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Nicole Wiltz, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bloomington, IL. Practice services are available at 300 E MONROE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 E Monroe St

Bloomington, IL 617014028

Telephone 3098276031
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
62 Specialists

Practicing in Bloomington, IL (10321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IL 146008986

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Jessica Stollard , SLP

Speech-Language Pathologist

NPI 1093150427

Speech-Language Pathologist

Samantha Byers , MS, CCC-SLP

Speech-Language Pathologist

NPI 1386121317

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Morgan Rivera , MS CCC-SLP, L

Speech-Language Pathologist

NPI 1417476375

MSCCCSLP, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 05, 2025

Registered at 300 E MONROE ST, BLOOMINGTON, IL 617014028 (Tel: 3098276031)

📍
Updated Business Mailing Address February 05, 2025

Registered at 300 E MONROE ST, BLOOMINGTON, IL 617014028 (Tel: 3098276031)

NPI Profile Active March 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2017

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096552629)

📍
Updated Business Mailing Address March 31, 2017

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096552629)

👤
Provider Name / Credentials Updated March 31, 2017

Recorded as NICOLE WILTZ, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2017

Speech-Language Pathologist (License #146008986 in IL)

🟢
Initial NPI Registration & Enumeration March 31, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629500319
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2017
Last Update: February 05, 2025
Sole Proprietor: Yes

Mailing Address

300 E Monroe St

Bloomington, IL 617014028

Phone: 3098276031

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.