Active NPI
Elise Patricia Krzesimowski, AU.D.
- Audiologist
- Clinton Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000839
- Practice address
- 36539 Harper Ave
Clinton Township, MI 48035-2012 - Phone
- (586) 900-8225
- Fax
- (920) 356-6419
- NPI assigned
- Jul 25, 2019
- Last updated
- Mar 8, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1601000839 | MI | Primary |
Addresses
Primary practice location
36539 Harper Ave
Clinton Township, MI 48035-2012
Mailing address
120 Park Ave Ste 1
Beaver Dam, WI 53916-2132
Phone (920) 885-5225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36557 Harper Ave
Clinton TWP, MI 48035-2012
Phone (586) 228-0600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1601000839 | MI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Repose PLLC | Current | Accepting new patients | |
| Harper Metro CT Partnership | Past | Accepting new patients |
Locations
36539 Harper Ave
Clinton Twp, MI 48035
Phone (586) 792-8877
36557 Harper Ave
Clinton Twp, MI 48035
Phone (586) 228-0600
120 Park Ave
Ste 1
Beaver Dam, WI 53916
Phone (920) 356-6416
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772928000000",
"number": "1114571460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 PARK AVE STE 1",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539162132",
"telephone_number": "920-885-5225",
"fax_number": "920-356-6419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36539 HARPER AVE",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480352012",
"telephone_number": "586-900-8225",
"fax_number": "920-356-6419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRZESIMOWSKI",
"first_name": "ELISE",
"middle_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-25",
"last_updated": "2026-03-08",
"certification_date": "2026-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2026; 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.