Individual provider Active NPI

Angela Schenk, AU.D.

  • Audiologist
  • Crystal River, FL
National Provider Identifier
1154592293
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1731 Issued in 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
Last updated
Sep 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1731 FL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VT2 enrollments

Enrollment records 2

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

Care Compare profile

Medicare Care Compare
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, IncGroup PAC ID 1658275193, 2 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1731FLMDAudiologist

Practice roles

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

Locations

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

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

20450 E Pennsylvania Ave
Dunnellon, FL 34432
Phone (352) 436-4428

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

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

6215 Abbott Station Dr
Ste 105
Zephyrhills, FL 33542
Phone (813) 355-4815

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

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, 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": "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.