Individual provider Active NPI

Michelle Anne Novakovich, AUD

  • Audiologist-Hearing Aid Fitter
  • High Point, NC
National Provider Identifier
1114122181
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
5289 Issued in NC
Practice address
1008 Hutton LN
Suite 107
High Point, NC 27262-7244
Phone
(336) 884-5929
Fax
(336) 884-4081
NPI assigned
Jun 19, 2007
Last updated
Sep 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 5289 NC
Audiologist-Hearing Aid Fitter 237600000X 5289 NC Primary

Addresses

Primary practice location

1008 Hutton LN
Suite 107
High Point, NC 27262-7244

Mailing address

1008 Hutton LN
Suite 107
High Point, NC 27262-7244
Phone (336) 884-5929

Other identifiers 1

IdentifierTypeStateIssuer
7001527MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081001000725 NC Practitioner - Qualified Audiologist 3476621640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novakovich Enterprises IncGroup PAC ID 3678894045, 2 clinicians

Practice addresses (Care Compare)

1008 Hutton LN
Suite 107
High Point, NC 27262-7245
Phone (336) 884-5929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5289NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Novakovich Enterprises, Inc Audiologist CurrentSince Jul 2, 2011 Accepting new patients

Locations

1008 Hutton Ln
Ste 107
High Point, NC 27262
Phone (336) 884-5929

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, 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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1114122181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 HUTTON LN",
            "address_2": "SUITE 107",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627244",
            "telephone_number": "336-884-5929",
            "fax_number": "336-884-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 HUTTON LN",
            "address_2": "SUITE 107",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627244",
            "telephone_number": "336-884-5929",
            "fax_number": "336-884-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAKOVICH",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "5289",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "5289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001527",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.