Individual provider Active NPI

Debra L Mikus, M.S.

  • Audiologist
  • Hamilton, MT
National Provider Identifier
1104862416
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
13817 Issued in MT
Practice address
299 Fairgrounds Rd Unit 4
Hamilton, MT 59840-3199
Phone
(406) 549-1951
Fax
(406) 542-5682
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 13817 MT
Audiologist 231H00000X 13817 MT Primary

Addresses

Primary practice location

299 Fairgrounds Rd Unit 4
Hamilton, MT 59840-3199

Mailing address

317 S Orange St
Missoula, MT 59801-1810
Phone (406) 549-1951

Other practice location 1

317 S Orange St
Missoula, MT 59801-1810
Phone (406) 549-1951

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250430002768 MT Practitioner - Qualified Audiologist 0446288054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vibrant Sound Works Inc 3 clinicians

Practice addresses (Care Compare)

299 Fairgrounds Rd
Unit 4
Hamilton, MT 59840-3199
Phone (406) 549-1951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13817MTMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Vibrant Sound Works, Inc Audiologist CurrentSince Mar 31, 2025 Accepting new patients

Locations

299 Fairgrounds Rd
Unit 4
Hamilton, MT 59840

317 S Orange St
Missoula, MT 59801

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1104862416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S ORANGE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011810",
            "telephone_number": "406-549-1951",
            "fax_number": "406-542-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 FAIRGROUNDS RD UNIT 4",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598403199",
            "telephone_number": "406-549-1951",
            "fax_number": "406-542-5682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 S Orange St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598011810",
            "country_code": "US",
            "telephone_number": "406-549-1951",
            "fax_number": "406-542-5682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKUS",
        "first_name": "DEBRA",
        "middle_name": "L",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MT",
            "license": "13817",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MT",
            "license": "13817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.