Individual provider Active NPI

Elizabeth A. Fernandez, AUD

  • Audiologist-Hearing Aid Fitter
  • Saint Louis, MO
National Provider Identifier
1225264658
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Practice address
3009 N Ballas Rd
Ste. 351C
Saint Louis, MO 63131-2322
Phone
(314) 996-4790
Fax
(314) 996-4792
NPI assigned
May 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

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

Addresses

Primary practice location

3009 N Ballas Rd
Ste. 351C
Saint Louis, MO 63131-2322

Mailing address

670 Mason Ridge Center Dr
Ste. 300
Saint Louis, MO 63141-8573
Phone (314) 996-4790

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150113001401 IL Practitioner - Qualified Audiologist 3779634118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Sinus Sleep and Allergy Associates, LLCGroup PAC ID 1850705096, 13 clinicians

Practice addresses (Care Compare)

1179 Fortune Blvd
Shiloh, IL 62269-7377
Phone (618) 628-0715

4224 Lincolnshire Dr
Suite B
Mount Vernon, IL 62864-2156
Phone (618) 816-7722

Merit-based Incentive Payment System (MIPS)

Final score
75.22 of 100Reported as group
Quality
63.94
Promoting interoperability
80
Improvement activities
40
Cost
70.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Sinus Sleep & Allergy Associates, LLC CurrentSince Jan 2, 2021 Accepting new patients
Physician Groups LC Past Accepting new patients

Locations

1000 Eleven S
Ste 4F
Columbia, IL 62236

1926 Edwardsville Club Plaza Ct
Edwardsville, IL 62025

4224 Lincolnshire Dr
#B
Mount Vernon, IL 62864
Phone (618) 242-0101

1179 Fortune Blvd
Shiloh, IL 62269
Phone (309) 368-8984

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": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1225264658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MASON RIDGE CENTER DR",
            "address_2": "STE. 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418573",
            "telephone_number": "314-996-4790",
            "fax_number": "314-996-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "STE. 351C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-996-4790",
            "fax_number": "314-996-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.