Active NPI
Jennifer M Krause, MA, CCC-A
- Audiologist
- Gilbert, AZ
National Provider Identifier
1073820106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA4551
- Practice address
- 2680 S Val Vista Dr
BLDG 13, Unit 175
Gilbert, AZ 85295-2152 - Phone
- (480) 784-0110
- Fax
- (480) 784-0220
- NPI assigned
- Sep 10, 2010
- 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 | DA4551 | AZ | Primary |
Addresses
Primary practice location
2680 S Val Vista Dr
BLDG 13, Unit 175
Gilbert, AZ 85295-2152
Mailing address
2680 S Val Vista Dr
BLDG 13, Unit 175
Gilbert, AZ 85295-2152
Phone (480) 784-0110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073820106 | Other | MEDICARE NPI |
Other names 1
- Ms. Jennifer M Donnelly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2081 W Frye Rd
Suite 100
Chandler, AZ 85224-6278
Phone (480) 753-1459
9097 E Desert Cove Ave
Suite 250
Scottsdale, AZ 85260-6278
Phone (480) 847-1193
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.58 of 100
- Quality
- 71.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley ENT, PC | Past | Accepting new patients | |
| Northern Arizona Ear Nose and Throat PC | Past | Accepting new patients | |
| Desert Valley ENT, PC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Otolaryngology Physician
- Scottsdale, AZ
- NPI 1508990185
-
- Otolaryngology Physician
- Gilbert, AZ
- NPI 1184713430
-
- Otolaryngology Physician
- Flagstaff, AZ
- NPI 1558449900
-
- Otolaryngology Physician
- Tucson, AZ
- NPI 1770852600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1073820106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 S VAL VISTA DR",
"address_2": "BLDG 13, UNIT 175",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852952152",
"telephone_number": "480-784-0110",
"fax_number": "480-784-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 S VAL VISTA DR",
"address_2": "BLDG 13, UNIT 175",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852952152",
"telephone_number": "480-784-0110",
"fax_number": "480-784-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSE",
"first_name": "JENNIFER",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MA, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-10",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "AZ",
"license": "DA4551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NPI",
"identifier": "1073820106",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "DONNELLY",
"middle_name": "M",
"prefix": "MS.",
"credential": "MA, CCC-A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.