Active NPI
Debra L Mikus, M.S.
- Audiologist
- Hamilton, MT
National Provider Identifier
1104862416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 13817
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13817 | MT | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibrant Sound Works, Inc | Audiologist | Current | 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.
-
- Audiologist
- Missoula, MT
- NPI 1306071329
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.