Individual provider Active NPI

Nikki Bergman

  • Audiologist-Hearing Aid Fitter
  • Lansing, MI
National Provider Identifier
1073549069
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
1601000448 Issued in MI
Practice address
6512 Centurion Dr Ste 340
Lansing, MI 48917-8248
Phone
(517) 323-6222
NPI assigned
Jun 23, 2006
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 1601000448 MI Primary

Addresses

Primary practice location

6512 Centurion Dr Ste 340
Lansing, MI 48917-8248

Mailing address

6956 Willow Hwy
Grand Ledge, MI 48837-8974

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080219000033 MI Practitioner - Qualified Audiologist 5294818936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology and Hearing Services LLCGroup PAC ID 5698781110, 2 clinicians

Practice addresses (Care Compare)

6512 Centurion Dr
Suite 340
Lansing, MI 48917-8248
Phone (517) 323-6222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601000448MIMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Americas Hearing Group LLC Audiologist-Hearing Aid Fitter CurrentSince Dec 13, 2023 Accepting new patients

Locations

4119 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 402-0094

603 N Waverly Rd
Ste 2A
Lansing, MI 48917
Phone (517) 323-7986

1350 W Centre Ave
Ste 105
Portage, MI 49024
Phone (269) 324-0301

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1073549069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6956 WILLOW HWY",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488378974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 CENTURION DR STE 340",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178248",
            "telephone_number": "517-323-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "NIKKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.