Active NPI
Chelsea Marie Tisckos, AU.D.
- Audiologist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 6400 Clayton Rd Ste 405
Saint Louis, MO 63117-1850 - Phone
- (314) 965-9184
- NPI assigned
- Jul 12, 2018
- Last updated
- Aug 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
6400 Clayton Rd Ste 405
Saint Louis, MO 63117-1850
Mailing address
15825 Manchester Rd Ste 209
Ellisville, MO 63011-2263
Other practice location 1
15825 Manchester Rd Ste 209
Ellisville, MO 63011-2263
Phone (636) 391-9622
Other practice location 2
1034 S Brentwood Blvd Ste 725
Saint Louis, MO 63117-1271
Phone (636) 391-9622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12255 De Paul Dr
Suite 860
Bridgeton, MO 63044-2515
Phone (314) 394-1911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Or Monitoring Consultants Inc | Audiologist | Current | Accepting new patients |
| Ideal Practice Management Group Mi LLC | Audiologist | Past | Accepting new patients |
| NHS South LLC | Past | Accepting new patients | |
| Hearing Consultants | Audiologist | Past | Accepting new patients |
| Audiology Consultants, LLC | Audiologist | Past | Accepting new patients |
| Hearing Health Care, Inc. | Audiologist | Past | Accepting new patients |
Locations
12255 De Paul Dr
Ste 860
Bridgeton, MO 63044
1000 Lake Saint Louis Blvd
Ste 115
Lake St Louis, MO 63367
10097 Manchester Rd
Ste 102A
Saint Louis, MO 63122
Networks
- IA HMO C-SNP
- IA HMO
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Saint Louis, MO
- NPI 1376166066
-
- Audiologist
- Topeka, KS
- NPI 1548461502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1033695143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15825 MANCHESTER RD STE 209",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 CLAYTON RD STE 405",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171850",
"telephone_number": "314-965-9184"
}
],
"practiceLocations": [
{
"address_1": "15825 Manchester Rd Ste 209",
"address_purpose": "LOCATION",
"city": "Ellisville",
"state": "MO",
"postal_code": "630112263",
"country_code": "US",
"telephone_number": "636-391-9622",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1034 S Brentwood Blvd Ste 725",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631171271",
"country_code": "US",
"telephone_number": "636-391-9622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TISCKOS",
"first_name": "CHELSEA",
"middle_name": "MARIE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-12",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.