Individual provider Active NPI

Amanda Kay Cegelske, AUD

  • Audiologist
  • Montrose, CO
National Provider Identifier
1245807833
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD.0001081 Issued in CO
Practice address
100 Tessitore CT
Unit B
Montrose, CO 81401-5689
Phone
(970) 787-4710
Fax
(970) 615-7007
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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.0001081 CO Primary

Addresses

Primary practice location

100 Tessitore CT
Unit B
Montrose, CO 81401-5689

Mailing address

2515 Foresight Cir
Suite 200
Grand Junction, CO 81505-1018
Phone (970) 245-2400

Other identifiers 1

IdentifierTypeStateIssuer
1245807833MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210709002841 CO Practitioner - Qualified Audiologist 8325440514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado West Otolaryngologists PCGroup PAC ID 1658363981, 21 clinicians

Practice addresses (Care Compare)

100 Tessitore CT
Unit B
Montrose, CO 81401-5689
Phone (970) 787-4710

2515 Foresight Cir
Suite 200
Grand Junction, CO 81505-1018
Phone (970) 245-2400

2515 Foresight Circle
Suite 200
Grand Junction, CO 81505-1018

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as group
Quality
86.4
Promoting interoperability
95
Improvement activities
40
Cost
80.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD.0001081COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Otolaryngologists PC Audiologist CurrentSince Jun 8, 2021 Accepting new patients
Colorado West Otolaryngologists PC CurrentSince Jun 8, 2021 Accepting new patients

Locations

233 Cottonwood St
Delta, CO 81416
Phone (970) 240-3338

2643 Patterson Rd
Ste 503
Grand Junction, CO 81506
Phone (970) 245-2400

2515 Foresight Cir
Unit 200
Grand Junction, CO 81505
Phone (970) 245-2400

100 Tessitore Ct
Unit B
Montrose, CO 81401
Phone (970) 240-4500

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1245807833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 FORESIGHT CIR",
            "address_2": "SUITE 200",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051018",
            "telephone_number": "970-245-2400",
            "fax_number": "970-242-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TESSITORE CT",
            "address_2": "UNIT B",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015689",
            "telephone_number": "970-787-4710",
            "fax_number": "970-615-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEGELSKE",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-02-15",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0001081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245807833",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.