Angela Schenk, AU.D.

Individual provider Active NPI Audiologist · Crystal River, FL

NPI 1154592293 · NPPES record last updated Sep 19, 2013

Key facts

NPI
1154592293
Entity type
Individual (NPI type 1)
Primary specialty
Audiologist 231H00000X
License
AY1731 (FL)
Practice address
700 SE 5TH Ter Ste 11
Crystal River, FL 34429-4877
Phone
(352) 795-5377
Fax
(352) 795-8663
NPI assigned
Mar 17, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Qualified Audiologist
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Vermont Audiology, Inc (2 clinicians)

Practice addresses (Care Compare)

81 River St
Suite 103
Montpelier, VT 05602-3750
Phone (802) 229-5868

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in FL, VT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130328000291 FL Practitioner - Qualified Audiologist 9032265947 Reassigns benefits to 2 organizations
I20250424000745 VT Practitioner - Qualified Audiologist 9032265947 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
AY1731FLMDAudiologist

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
Crystal Community E N T Current
since Jul 1, 2013
Accepting new patients
Dan Gardner Inc Audiologist Current
since Jun 24, 2013
Accepting new patients
Vermont Audiology, Inc. Audiologist Current
since Jun 1, 2025
Accepting new patients
Audiology Distribution, LLC Past Accepting new patients
Accent Physician Specialists, P.a. Past
since Jul 1, 2013
Accepting new patients

Locations

790 SE 5th Ter
Crystal River, FL 34429
Phone (352) 794-0011

790 SE 5th Ter
Ste B
Crystal River, FL 34429
Phone (352) 795-5700

700 SE 5th Ter
Ste 11
Crystal River, FL 34429
Phone (352) 795-5377

20450 E Pennsylvania Ave
Dunnellon, FL 34432
Phone (352) 448-1772

820 S Bea Ave
Inverness, FL 34452
Phone (352) 637-1919

2222 Highway 44 W
Inverness, FL 34453
Phone (352) 419-6565

6215 Abbott Station Dr
Ste 105
Zephyrhills, FL 33542
Phone (813) 782-5395

81 River St
Ste 103
Montpelier, VT 05602
Phone (802) 229-5868

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1731 FL Yes

Addresses

Primary practice location

700 SE 5TH Ter Ste 11
Crystal River, FL 34429-4877

Mailing address

700 SE 5TH Ter Ste 11
Crystal River, FL 34429-4877
Phone (352) 795-5377

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 19, 2013.

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1154592293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SE 5TH TER STE 11",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294877",
            "telephone_number": "352-795-5377",
            "fax_number": "352-795-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SE 5TH TER STE 11",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294877",
            "telephone_number": "352-795-5377",
            "fax_number": "352-795-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENK",
        "first_name": "ANGELA",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

All providers in Crystal River, FL · Audiologist in Florida

Sources for this page

Verify at the official NPI Registry.