Individual provider Active NPI

Jordan Angela McShane, AU.D.

  • Audiologist
  • Shelburne, VT
National Provider Identifier
1053082933
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
145.0133329 Issued in VT
Practice address
10 Marsett Rd Ste 3
Shelburne, VT 05482-7150
Phone
(802) 922-9545
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 145.0133329 VT
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 145.0133329 VT Primary

Addresses

Primary practice location

10 Marsett Rd Ste 3
Shelburne, VT 05482-7150

Mailing address

10 Marsett Rd Ste 3
Shelburne, VT 05482-7150
Phone (802) 922-9545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415002708 VT Practitioner - Qualified Audiologist 8325563026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adirondack Audiology Associates PCGroup PAC ID 2860714110, 5 clinicians

Practice addresses (Care Compare)

10 Marsett Rd
Suite 3
Shelburne, VT 05482-7150
Phone (802) 922-9545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
145.0133329VTMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Audiology Associates, PC Single Specialty CurrentSince Mar 31, 2025 Accepting new patients
Adirondack Audiology Associates Hearing and Balance Center LLC Single Specialty CurrentSince Mar 30, 2025 Accepting new patients

Locations

10 Marsett Rd
Ste 3
Shelburne, VT 05482
Phone (802) 448-2138

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1053082933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARSETT RD STE 3",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827150",
            "telephone_number": "802-922-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MARSETT RD STE 3",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827150",
            "telephone_number": "802-922-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHANE",
        "first_name": "JORDAN",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VT",
            "license": "145.0133329",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "VT",
            "license": "145.0133329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelburne, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.