Individual provider Active NPI

Nicholas Parmer, AU.D.

  • Audiologist
  • Traverse City, MI
National Provider Identifier
1194131912
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000678 Issued in MI
Practice address
1105 Sixth St
Suite 103
Traverse City, MI 49684-2349
Phone
(231) 935-6455
Fax
(231) 935-6646
NPI assigned
Jul 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000678 MI Primary

Addresses

Primary practice location

1105 Sixth St
Suite 103
Traverse City, MI 49684-2349

Mailing address

1105 Sixth St
C/O Payer Enrollment
Traverse City, MI 49684-2349
Phone (231) 935-5000

Other practice location 1

106 S Madison St
Traverse City, MI 49684-2320
Phone (231) 935-6650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140806001378 MI Practitioner - Qualified Audiologist 8820215395 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians
Munson Healthcare GraylingGroup PAC ID 2062736655, 64 clinicians

Practice addresses (Care Compare)

106 S Madison St
Traverse City, MI 49684-2320
Phone (231) 935-6650

1250 E Michigan Ave C
Munson Audiology Grayling
Grayling, MI 49738-7074
Phone (231) 935-6455

Hospital & facility affiliations

  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Grayling CurrentSince Jul 15, 2019 Accepting new patients
Munson Healthcare Grayling Current Accepting new patients
Munson Medical Center Current Accepting new patients
Paul Oliver Memorial Hospital Audiologist CurrentSince Jul 15, 2019 Accepting new patients
Paul Oliver Memorial Hospital Current Accepting new patients
Munson Medical Center CurrentSince Dec 22, 2020 Accepting new patients
Paul Oliver Memorial Hospital CurrentSince Jul 15, 2019 Accepting new patients
Grand Traverse Pathology, PLLC Current Accepting new patients
Munson Healthcare Grayling Audiologist CurrentSince Jul 15, 2019 Accepting new patients
Munson Medical Center Past Accepting new patients
Paul Oliver Memorial Hospital Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

3781 Momentum Pl
Chicago, IL 60689

224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200

1250 E Michigan Ave
Ste C
Grayling, MI 49738
Phone (989) 348-0550

1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550

1105 Sixth St
Ste 103
Traverse City, MI 49684
Phone (231) 935-6455

106 S Madison St
Traverse City, MI 49684
Phone (231) 935-6650

550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1194131912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "address_2": "C/O PAYER ENROLLMENT",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842349",
            "telephone_number": "231-935-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "address_2": "SUITE 103",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842349",
            "telephone_number": "231-935-6455",
            "fax_number": "231-935-6646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 S Madison St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842320",
            "country_code": "US",
            "telephone_number": "231-935-6650",
            "fax_number": "231-935-6652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARMER",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.