Organization Active NPI

Everclear Hearing Products

  • Hearing Instrument Specialist
  • Eau Claire, WI
National Provider Identifier
1073991543
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1285-60 Issued in WI
Legal business name
EVERCLEAR HEARING PRODUCTS
Practice address
2215 E Clairemont Ave
Suite 2
Eau Claire, WI 54701-4772
Phone
(715) 831-0289
Fax
(715) 831-4722
NPI assigned
May 15, 2015
Last updated
Aug 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Patrice Diane Rogstad, H.I.S.NPI 1043482839
Title
Owner/Manager
Phone
(715) 831-0289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237600000X 30-156 WI
Hearing Instrument SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 237700000X 1285-60 WI Primary

Addresses

Primary practice location

2215 E Clairemont Ave
Suite 2
Eau Claire, WI 54701-4772

Mailing address

2215 E Clairemont Ave
Suite 2
Eau Claire, WI 54701-4772
Phone (715) 831-0289

Other identifiers 1

IdentifierTypeStateIssuer
42839500MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170601001174 WI Part B Supplier - Clinic/Group Practice 4385911908 Receives reassigned benefits from 2 practitioners
Practice locations: Eau Claire, WI

National Provider Directory

National Provider Directory

Locations

2215 E Clairemont Ave
Eau Claire, WI 54701

2215 E Clairemont Ave
Ste 2
Eau Claire, WI 54701
Phone (715) 831-0289

2215 E Clairemont Ave
Ste 5
Eau Claire, WI 54701
Phone (715) 831-0289

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1073991543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E CLAIREMONT AVE",
            "address_2": "SUITE 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014772",
            "telephone_number": "715-831-0289",
            "fax_number": "715-831-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E CLAIREMONT AVE",
            "address_2": "SUITE 2",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014772",
            "telephone_number": "715-831-0289",
            "fax_number": "715-831-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCLEAR HEARING PRODUCTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "ROGSTAD",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "715-831-0289",
        "authorized_official_credential": "H.I.S."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WI",
            "license": "30-156",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1285-60",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42839500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.