Individual provider Active NPI

Christin Angela Peyerk, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Shelby Township, MI
National Provider Identifier
1174700538
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
1601000428 Issued in MI
Practice address
48465 Van Dyke Ave
Suite a
Shelby Township, MI 48317-3272
Phone
(586) 801-7738
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 1601000428 MI Primary
Audiologist 231H00000X

Addresses

Primary practice location

48465 Van Dyke Ave
Suite a
Shelby Township, MI 48317-3272

Mailing address

48465 Van Dyke Ave
Suite a
Shelby Township, MI 48317-3272
Phone (586) 801-7738

Other identifiers 4

IdentifierTypeStateIssuer
640E020600OtherBCBSM
640E020600OtherBCN
383197834OtherMICOMMERICAL
640E020600OtherMIBCBSM

Other names 1

  • Christin Angela Pfent Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170801003263 MI Practitioner - Qualified Audiologist 3870864358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Care Center IncGroup PAC ID 3072845882, 2 clinicians

Practice addresses (Care Compare)

49050 Schoenherr Rd
Suite 200
Shelby Township, MI 48315-3848
Phone (586) 803-4740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Care Center Inc CurrentSince Sep 23, 2018 Accepting new patients
Shining Light Counseling, LLC PastSince Jun 21, 2020 Accepting new patients

Locations

49050 Schoenherr Rd
Ste 200
Shelby Township, MI 48315
Phone (586) 803-4740

48465 Van Dyke Ave
Ste A
Shelby Township, MI 48317
Phone (586) 488-3175

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": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1174700538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48465 VAN DYKE AVE",
            "address_2": "SUITE A",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173272",
            "telephone_number": "586-801-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48465 VAN DYKE AVE",
            "address_2": "SUITE A",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173272",
            "telephone_number": "586-801-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYERK",
        "first_name": "CHRISTIN",
        "middle_name": "ANGELA",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000428",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "640E020600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "640E020600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERICAL",
            "identifier": "383197834",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "640E020600",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIN",
            "last_name": "PFENT",
            "middle_name": "ANGELA",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.