Organization Active NPI

Hearing Clinics of Wisconsin, Inc

  • Audiologist-Hearing Aid Fitter
  • Appleton, WI
National Provider Identifier
1164449831
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
HEARING CLINICS OF WISCONSIN, INC
Practice address
4650 W Spencer St
Suite 31
Appleton, WI 54914-9106
Phone
(920) 738-1819
NPI assigned
Jul 17, 2006
Last updated
Dec 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Mrs. Karen A Krause
Title
Vice President/Co-Owner
Phone
(715) 675-7766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X NU Primary

Addresses

Primary practice location

4650 W Spencer St
Suite 31
Appleton, WI 54914-9106

Mailing address

PO Box 1382
Wausau, WI 54402-1382
Phone (715) 675-7766

Other identifiers 1

IdentifierTypeStateIssuer
41173000MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080313000337 WI Part B Supplier - Clinic/Group Practice 9133204217 Receives reassigned benefits from 1 practitioner
Practice locations: Appleton, WI; Green Bay, WI; Shawano, WI

National Provider Directory

National Provider Directory

Locations

1000 N Lynndale Dr
Appleton, WI 54914
Phone (920) 738-1819

4650 W Spencer St
Ste 31
Appleton, WI 54914
Phone (920) 738-1819

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1164449831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1382",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544021382",
            "telephone_number": "715-675-7766",
            "fax_number": "715-675-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W SPENCER ST",
            "address_2": "SUITE 31",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549149106",
            "telephone_number": "920-738-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING CLINICS OF WISCONSIN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT/CO-OWNER",
        "authorized_official_telephone_number": "715-675-7766",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41173000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.