Individual provider Active NPI

Melissa M. Moore-Schmitt, M.A., CCC-A

  • Audiologist
  • Swansea, IL
National Provider Identifier
1023020518
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147-000155 Issued in IL
Practice address
Advanced Hearing Systems
4933 Benchmark Centre Drive, Suite B
Swansea, IL 62226-8927
Phone
(618) 628-1212
Fax
(618) 628-8520
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X
Assistive Technology Practitioner Audiologist 231HA2400X 147-000155 IL
Assistive Technology Supplier Audiologist 231HA2500X 147-000155 IL
Audiologist-Hearing Aid Fitter 237600000X 147-000155 IL
Hearing Instrument Specialist 237700000X 147-000155 IL
Durable Medical Equipment & Medical Supplies 332B00000X 147000155 IL
Audiologist 231H00000X 147-000155 IL Primary

Addresses

Primary practice location

Advanced Hearing Systems
4933 Benchmark Centre Drive, Suite B
Swansea, IL 62226-8927

Mailing address

Advanced Hearing Systems LLC
4933 Benchmark Centre Drive, Suite B
Swansea, IL 62226-8927
Phone (618) 628-1212

Other identifiers 1

IdentifierTypeStateIssuer
338636371001MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080324000105 IL Practitioner - Qualified Audiologist 0941386510 Reassigns benefits to 1 organization
Practice locations: Swansea, IL

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Hearing Systems LLCGroup PAC ID 5991196099, 2 clinicians

Practice addresses (Care Compare)

4933 Benchmark Centre Dr
Suite B
Swansea, IL 62226-8927
Phone (618) 628-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
147-000155ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Hearing Systems LLC Multi-Specialty CurrentSince Dec 12, 2021 Accepting new patients
Master Medical Care LLC Multi-Specialty Past Accepting new patients

Locations

4933 Benchmark Centre Dr
Ste B
Swansea, IL 62226
Phone (618) 628-1212

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1023020518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ADVANCED HEARING SYSTEMS LLC",
            "address_2": "4933 BENCHMARK CENTRE DRIVE, SUITE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622268927",
            "telephone_number": "618-628-1212",
            "fax_number": "618-628-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ADVANCED HEARING SYSTEMS",
            "address_2": "4933 BENCHMARK CENTRE DRIVE, SUITE B",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622268927",
            "telephone_number": "618-628-1212",
            "fax_number": "618-628-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-SCHMITT",
        "first_name": "MELISSA",
        "middle_name": "M.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "IL",
            "license": "147-000155",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "IL",
            "license": "147-000155",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147-000155",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IL",
            "license": "147-000155",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "147000155",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338636371001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.