Individual provider Active NPI

Monara Beth Ledtke, AU.D.

  • Audiologist
  • Lake Geneva, WI
National Provider Identifier
1295763936
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
458-156 Issued in WI
Practice address
875 Townline Rd Unit 101
Lake Geneva, WI 53147-5517
Phone
(262) 249-5855
Fax
(262) 249-8589
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 458-156 WI Primary

Addresses

Primary practice location

875 Townline Rd Unit 101
Lake Geneva, WI 53147-5517

Mailing address

500 Commercial CT
Suite #102
Lake Geneva, WI 53147-4564
Phone (262) 249-8585

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060303000381 WI Practitioner - Qualified Audiologist 3274515747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aud Hearing LLCGroup PAC ID 6800899154, 2 clinicians

Practice addresses (Care Compare)

875 Townline Rd
Unit 101
Lake Geneva, WI 53147-5517
Phone (262) 249-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
458-156WIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Au.D. Hearing, LLC CurrentSince Apr 14, 2006 Accepting new patients
Heritage Hearing Center P.C. Audiologist Past Accepting new patients
Hearing Consultants of Michigan Past Accepting new patients

Locations

875 Townline Rd
Unit 101
Lake Geneva, WI 53147
Phone (262) 249-5855

500 Commercial Ct
#102
Lake Geneva, WI 53147
Phone (262) 249-8585

875 Townline Rd
Lake Geneva, WI 53147

Organizations & group practices 3

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1295763936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COMMERCIAL CT",
            "address_2": "SUITE #102",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474564",
            "telephone_number": "262-249-8585",
            "fax_number": "262-249-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 TOWNLINE RD UNIT 101",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531475517",
            "telephone_number": "262-249-5855",
            "fax_number": "262-249-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDTKE",
        "first_name": "MONARA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "458-156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.