Leslie A Shoulders, AU.D.
Individual provider Active NPI Audiologist · Menomonee Falls, WI
NPI 1124448717 · NPPES record last updated Apr 19, 2023
Key facts
- NPI
- 1124448717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 692 (WI)
- Practice address
- N84W16889 Menomonee Ave
Menomonee Falls, WI 53051-2810 - Phone
- (262) 532-1560
- Fax
- (262) 532-1380
- NPI assigned
- Apr 22, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 26
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aurora Advanced Healthcare, Inc.
Practice addresses (Care Compare)
N84 W16889 Menomonee Ave
Menomonee Falls, WI 53051-2810
Phone (262) 251-7500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140618000006 | VA | Practitioner - Qualified Audiologist | 5496979270 | Reassigns benefits to 1 organization |
| I20190926001940 | WI | Practitioner - Qualified Audiologist | 5496979270 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2201001550 | VA | MD | Audiologist |
| 692 | WI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Audiologist | Current |
Accepting new patients |
| Aurora Advanced Healthcare Inc | Current |
Accepting new patients | |
| Childrens Specialty Group PLLC | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272
600 Gresham Dr
Ste 1100
Norfolk, VA 23507
Phone (757) 388-6200
600 Gresham Dr
#1100
Norfolk, VA 23507
Phone (757) 388-6200
16985 W Bluemound Rd
Brookfield, WI 53005
Phone (262) 641-8400
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535
N84W16889 Menomonee Ave
Menomonee Fls, WI 53051
Phone (262) 251-7500
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
2424 S 90th St
Ste 406
West Allis, WI 53227
Phone (414) 328-8840
Interoperability endpoints
- lshoulders364269@direct.myadvocateaurora.org
- kspitz365372@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201001550 | VA | |
| Audiologist | 231H00000X | 692 | WI | Yes |
Addresses
Primary practice location
N84W16889 Menomonee Ave
Menomonee Falls, WI 53051-2810
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (262) 532-1560
Other practice location 1
600 Gresham Dr
1100
Norfolk, VA 23507
Phone (757) 388-6234
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100092318 | Medicaid | WI |
Other names
- Leslie Ann Townsend
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kspitz365372@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Menomonee Falls, WI
- Jennifer K Shaw
- Laurie Joan Shawger
- Shema and Buda Logistics LLC
- Dennis W Shepherd
- Lisa M Sherlock
- Jasmeet K Sidhu
- Brandyn Simmons
- Elliot M Simon
- Jacob Simonovich
- Malini Sims
All providers in Menomonee Falls, WI · Audiologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.