Individual provider Active NPI

Erin Michele Guenzi, AU.D.

  • Audiologist
  • Fort Morgan, CO
National Provider Identifier
1174032379
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD.0000866 Issued in CO
Practice address
409 E Platte Ave
Fort Morgan, CO 80701-3335
Phone
(970) 867-9993
Fax
(970) 867-0622
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 AUD.0000866 CO Primary

Addresses

Primary practice location

409 E Platte Ave
Fort Morgan, CO 80701-3335

Mailing address

409 E Platte Ave
Fort Morgan, CO 80701-3335
Phone (970) 867-9993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725000408 CO Practitioner - Qualified Audiologist 5395092142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Hearing Centers, LLCGroup PAC ID 8921491473, 2 clinicians
Platte Valley Hearing Center, Inc.Group PAC ID 3476695636, 2 clinicians

Practice addresses (Care Compare)

121 N 2ND St
Sterling, CO 80751-4331
Phone (888) 841-3160

409 E Platte Ave
Fort Morgan, CO 80701-3335
Phone (970) 867-9993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD.0000866COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Platte Valley Hearing Center, Inc. CurrentSince Jun 27, 2018 Accepting new patients

Locations

409 E Platte Ave
Fort Morgan, CO 80701
Phone (970) 867-3937

121 N 2nd St
Sterling, CO 80751

Organizations & group practices 2

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": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174032379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E PLATTE AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013335",
            "telephone_number": "970-867-9993",
            "fax_number": "970-867-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E PLATTE AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013335",
            "telephone_number": "970-867-9993",
            "fax_number": "970-867-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUENZI",
        "first_name": "ERIN",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0000866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.