Jackie Ann-Mummert Gilbert, M.S.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000071 Issued in MI

Practice address

1414 W Fair Ave
Ste 130
Marquette, MI 49855-5408

Phone

(906) 225-7660

Fax

(906) 225-7665

NPI assigned

Jan 24, 2007

Last updated

Apr 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Superior Ear Nose Throat - Audiology and Allergy PCGroup PAC ID 5294187902, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science

State licenses

Practice roles

Locations

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.

• Superior Ear Nose Throat - Audiology & Allergy PC

  dba Sentaa

  • Otolaryngology/Facial Plastic Surgery Physician
  • Marquette, MI
  • NPI 1215700711
  Medicare reassignment Care Compare group NPD
• Superior Ear, Nose & Throat Specialists. P.C.

  • Otolaryngology Physician
  • Marquette, MI
  • NPI 1114077641
  Medicare reassignment

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1285789933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E CRESCENT ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553619",
            "telephone_number": "906-225-3161",
            "fax_number": "906-225-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "STE 130",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555408",
            "telephone_number": "906-225-7660",
            "fax_number": "906-225-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "JACKIE",
        "middle_name": "ANN-MUMMERT",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey F Gephart, MD
• Cassandra Gertjejansen
• Kari Getschow
• Treven Gezella
• Greg J Ghiardi, M.D.
• Bonita L Gilbertson, NP
• Gabriella Irene Gilfoy-Jones, M.A. CCC-SLP
• Mandeep Singh Gill, M.D.
• Derrick Tyrone Gillard, CHW, NDPP-LCC-CDC-MI
• Christina Ginter

• Audiologist in Marquette, MI
• Providers in Marquette, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.