Individual provider Active NPI

Susan L. Detels, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Springfield, OR
National Provider Identifier
1275500829
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
21293 Issued in OR
Practice address
816 Beltline Rd
Springfield, OR 97477-1091
Phone
(541) 746-7671
Fax
(541) 746-2625
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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 21293 OR Primary

Addresses

Primary practice location

816 Beltline Rd
Springfield, OR 97477-1091

Mailing address

427 W Azalea Ave
Eugene, OR 97404-1894
Phone (541) 968-2206

Other identifiers 1

IdentifierTypeStateIssuer
113899MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080429000753 OR Practitioner - Qualified Audiologist 8628157831 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21293ORMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Ear, Nose and Throat, P.C. CurrentSince Jun 1, 2008 Accepting new patients
Eugene Hearing & Speech Center Past Accepting new patients

Locations

360 S Garden Way
Ste 200
Eugene, OR 97401
Phone (541) 349-9333

1400 Valley River Dr
Ste 220
Eugene, OR 97401
Phone (541) 302-1420

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1275500829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W AZALEA AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974041894",
            "telephone_number": "541-968-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 BELTLINE RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771091",
            "telephone_number": "541-746-7671",
            "fax_number": "541-746-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETELS",
        "first_name": "SUSAN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": "21293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113899",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.