Individual provider Active NPI

Karen Renee Michaud, AU.D.

  • Audiologist
  • Wyoming, MI
National Provider Identifier
1053795252
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
16010000711 Issued in MI
Practice address
1555 44TH St SW
Wyoming, MI 49509
Phone
(616) 249-8000
Fax
(616) 249-8088
NPI assigned
Jul 17, 2015
Last updated
Mar 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000711 MI
Audiologist 231H00000X 16010000711 MI Primary

Addresses

Primary practice location

1555 44TH St SW
Wyoming, MI 49509

Mailing address

1555 44TH St SW
Wyoming, MI 49509
Phone (616) 249-8000

Other names 1

  • Karen Renee Riley Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160407001344 MI Practitioner - Qualified Audiologist 0345548376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Ear Nose Throat and Allergy Specialists PCGroup PAC ID 4183868094, 42 clinicians

Practice addresses (Care Compare)

1425 Michigan St NE
Suite a
Grand Rapids, MI 49503-2027
Phone (616) 459-4514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16010000711MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Ear, Nose, Throat, and Allergy Specialists, PC Audiologist CurrentSince Jun 2, 2025 Accepting new patients

Locations

11160 Wj Presley Pkwy
Ste 102
Allendale, MI 49401
Phone (616) 384-2810

705 Oak St
Big Rapids, MI 49307
Phone (231) 592-4356

6470 Cherry Meadow Dr SE
Caledonia, MI 49316

1425 Michigan St NE
Ste A
Grand Rapids, MI 49503
Phone (616) 233-0933

1005 W Green St
Ste 101
Hastings, MI 49058
Phone (616) 797-8569

3100 N Wellness Dr
Holland, MI 49424
Phone (616) 396-1433

1555 44th St SW
Wyoming, MI 49509
Phone (616) 249-8000

Organizations & group practices 1

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": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1053795252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 44TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49509",
            "telephone_number": "616-249-8000",
            "fax_number": "616-249-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 44TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49509",
            "telephone_number": "616-249-8000",
            "fax_number": "616-249-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "KAREN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000711",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "16010000711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "RILEY",
            "middle_name": "RENEE",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.