Individual provider Active NPI

Jennifer Brooke Adams, AUD, CCC-A

  • Audiologist
  • Merrillville, IN
National Provider Identifier
1093093650
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
563-156 Issued in WI
Practice address
1609 E 80TH Ave
Merrillville, IN 46410-5737
Phone
(219) 738-2730
Fax
(219) 738-2743
NPI assigned
Aug 1, 2011
Last updated
Apr 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 563-156 WI Primary

Addresses

Primary practice location

1609 E 80TH Ave
Merrillville, IN 46410-5737

Mailing address

1609 E. 80TH Ave
Merrillville, IN 46410
Phone (219) 738-7230

Other identifiers 2

IdentifierTypeStateIssuer
P00972354OtherWIRAILROAD
1093093650MedicaidWI

Other names 1

  • Ms. Jennifer Brooke Fleischmann Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181218003650 IN Practitioner - Qualified Audiologist 6002087194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carepointe, P.C.Group PAC ID 6608812003, 7 clinicians

Practice addresses (Care Compare)

99 E 86TH Ave
Suite a
Merrillville, IN 46410-6267
Phone (219) 738-2617

99 E 86TH Ave a
Merrillville, IN 46410-6267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
563-156WIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carepointe, P.C. CurrentSince Sep 2, 2024 Accepting new patients
Southlake Speech & Hearing Center, Inc Audiologist Past Accepting new patients

Locations

99 E 86th Ave
Ste A
Merrillville, IN 46410
Phone (219) 738-2528

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": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1093093650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 E. 80TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-738-7230",
            "fax_number": "219-738-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 E 80TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105737",
            "telephone_number": "219-738-2730",
            "fax_number": "219-738-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JENNIFER",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "563-156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00972354",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093093650",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FLEISCHMANN",
            "middle_name": "BROOKE",
            "prefix": "MS.",
            "credential": "AUD, CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.