Individual provider Active NPI

Maryrose Hecksel, MA

  • Hearing Instrument Specialist
  • Lansing, MI
National Provider Identifier
1306860994
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
MH000135 Issued in MI
Practice address
7201 W Saginaw Hwy
Suite 300
Lansing, MI 48917-1131
Phone
(517) 321-6801
Fax
(517) 321-1737
NPI assigned
Jul 27, 2006
Last updated
Oct 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X MH000135 MI Primary

Addresses

Primary practice location

7201 W Saginaw Hwy
Suite 300
Lansing, MI 48917-1131

Mailing address

7201 W Saginaw Hwy
Suite 300
Lansing, MI 48917-1131
Phone (517) 321-6801

Other identifiers 1

IdentifierTypeStateIssuer
4758259MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050112000131 MI Practitioner - Qualified Audiologist 3476501891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7201 W Saginaw Hwy
Suite 300
Lansing, MI 48917-1127

7201 W Saginaw Hwy 300
Audiology and Hearing Aid Center
Lansing, MI 48917-1127
Phone (517) 321-6801

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MH000135MIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryrose Hecksel, Aud, LLC CurrentSince Jun 2, 2014 Accepting new patients
Edward D Berg DO PC Past Accepting new patients

Locations

7201 W Saginaw Hwy
Ste 300
Lansing, MI 48917
Phone (517) 321-6801

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1306860994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 W SAGINAW HWY",
            "address_2": "SUITE 300",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171131",
            "telephone_number": "517-321-6801",
            "fax_number": "517-321-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 W SAGINAW HWY",
            "address_2": "SUITE 300",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171131",
            "telephone_number": "517-321-6801",
            "fax_number": "517-321-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKSEL",
        "first_name": "MARYROSE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MI",
            "license": "MH000135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4758259",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.