Individual provider Active NPI

Miranda Elise McDonnell, AUD, CCC-A, FAAA

  • Audiologist
  • Salinas, CA
National Provider Identifier
1164130753
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
3764 Issued in CA
Practice address
1095 Los Palos Dr
Salinas, CA 93901-3916
Phone
(831) 422-8798
Fax
(831) 422-0153
NPI assigned
Nov 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 3764 CA Primary

Addresses

Primary practice location

1095 Los Palos Dr
Salinas, CA 93901-3916

Mailing address

4719 Quail Lakes Dr # G209
Stockton, CA 95207-8140
Phone (209) 642-3882

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221216001817 CA Practitioner - Qualified Audiologist 6406225234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Coast Head and Neck Surgeons a M C IncGroup PAC ID 8921086166, 14 clinicians

Practice addresses (Care Compare)

1095 Los Palos Dr
Salinas, CA 93901-3916
Phone (408) 422-8798

Merit-based Incentive Payment System (MIPS)

Final score
85.27 of 100Reported as group
Quality
82.29
Promoting interoperability
95
Improvement activities
40
Cost
62.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Head & Neck Surgeons a M C Inc CurrentSince Nov 9, 2022 Accepting new patients

Locations

966 Cass St
Ste 250
Monterey, CA 93940
Phone (831) 649-4000

1095 Los Palos Dr
Salinas, CA 93901
Phone (831) 422-8798

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1164130753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 QUAIL LAKES DR # G209",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078140",
            "telephone_number": "209-642-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 LOS PALOS DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013916",
            "telephone_number": "831-422-8798",
            "fax_number": "831-422-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "MIRANDA",
        "middle_name": "ELISE",
        "credential": "AUD, CCC-A, FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "3764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.