Individual provider Active NPI

Misty R Mueller, M.S. CCC-A

  • Audiologist
  • Omaha, NE
National Provider Identifier
1295985646
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
164 Issued in NE
Practice address
366 Regency Pkwy
Omaha, NE 68114-3718
Phone
(402) 397-0670
Fax
(402) 397-0713
NPI assigned
Sep 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 164 NE Primary

Addresses

Primary practice location

366 Regency Pkwy
Omaha, NE 68114-3718

Mailing address

366 Regency Pkwy
Omaha, NE 68114-3718
Phone (402) 397-0670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081025000055 NE Practitioner - Qualified Audiologist 8224196860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Specialists PCGroup PAC ID 3173517539, 11 clinicians

Practice addresses (Care Compare)

720 N 129TH St
Omaha, NE 68154-6109
Phone (402) 397-0670

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
164NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Specialists PC CurrentSince Oct 1, 2008 Accepting new patients

Locations

366 Regency Pkwy
Omaha, NE 68114
Phone (402) 397-0670

720 N 129th St
Omaha, NE 68154
Phone (402) 397-0670

Organizations & group practices 1

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": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1295985646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 REGENCY PKWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143718",
            "telephone_number": "402-397-0670",
            "fax_number": "402-397-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 REGENCY PKWY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143718",
            "telephone_number": "402-397-0670",
            "fax_number": "402-397-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "MISTY",
        "middle_name": "R",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NE",
            "license": "164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.