Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760710693 Individual Practitioner Female Practitioner

Angela Rae Derouin , MS, CCC-SLP

Speech-Language Pathologist • Greenfield, WI

Professional Overview & Biography Verified Profile Summary

Angela Derouin, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Greenfield, WI. Practice services are available at 9000 W SURA LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9000 W Sura Ln

Greenfield, WI 532283477

Telephone 4142466800
Fax 4142466405
Associated Practice Facility / Clinic
🏢 Aurora Surgery Centers, Llc Facility NPI 1659839686

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Greenfield, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
44 Specialists

Practicing in Greenfield, WI (3821 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: 2026-06-22
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License None 3231-154

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100007790 (WI)

Secondary Practice Locations

200 N Patrick Blvd Ste 250

Brookfield, WI 530455883

Phone: 2622551180

Practice Associates & Co-Workers

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

40 Associated Practitioners
Stephaney Bublitz , OTR, L

Occupational Therapist

NPI 1013589035

Occupational Therapist Registered, L

Madison Coady , PT

Physical Therapist

NPI 1043059017

Physical Therapist

Laura Socha , OTR

Occupational Therapist

NPI 1053599605

Occupational Therapist Registered

NPI 1053889840

Master of Physical Therapy

Kelly Liebergen

Speech-Language Pathologist

NPI 1063062271
NPI 1063500569

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location June 22, 2026

Registered at 9000 W SURA LN, GREENFIELD, WI 532283477 (Tel: 4142466800)

📍
Updated Business Mailing Address June 22, 2026

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

📍
Updated Practice Location March 17, 2023

Registered at 200 N PATRICK BLVD STE 250, BROOKFIELD, WI 530455883 (Tel: 2622551180)

📍
Updated Business Mailing Address March 17, 2023

Registered at 200 N PATRICK BLVD STE 250, BROOKFIELD, WI 530455883 (Tel: 8887540398)

NPI Profile Active April 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2012

Registered at N84W17049 MENOMONEE AVE, MENOMONEE FALLS, WI 530512701 (Tel: 2622551180)

📍
Updated Business Mailing Address April 12, 2012

Registered at N84W17049 MENOMONEE AVE, MENOMONEE FALLS, WI 530512701 (Tel: 2622551180)

👤
Provider Name / Credentials Updated April 12, 2012

Recorded as ANGELA DEROUIN, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2012

Speech-Language Pathologist (License #3231-154 in None)

🟢
Initial NPI Registration & Enumeration December 04, 2009

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: 1760710693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2009
Last Update: June 22, 2026
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.