Individual provider Active NPI

Casey Pencek, AU.D

  • Audiologist
  • Asheville, NC
National Provider Identifier
1356722490
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
12266 Issued in NC
Practice address
900 Hendersonville Rd Ste 105
Asheville, NC 28803-1763
Phone
(843) 628-4844
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD 4024 SC
Audiologist 231H00000X 12266 NC Primary

Addresses

Primary practice location

900 Hendersonville Rd Ste 105
Asheville, NC 28803-1763

Mailing address

1101 Brickell Ave Ste N1700
Miami, FL 33131-3105
Phone (843) 628-4844

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180516000002 NC Practitioner - Qualified Audiologist 7113230012 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12266NCMDAudiologist
AUD 4024SCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Hearing Center of North Carolina PLLC Audiologist Current Accepting new patients
Audiology Distribution, LLC CurrentSince Dec 18, 2024 Accepting new patients
Lifestyle Hearing Corporation USA Inc. Audiologist PastSince Dec 1, 2015 Accepting new patients

Locations

900 Hendersonville Rd
Ste 105
Asheville, NC 28803
Phone (828) 277-5677

900 Hendersonville Rd
Asheville, NC 28803
Phone (828) 213-8235

424 S Caldwell St
Brevard, NC 28712
Phone (828) 966-4327

900 Johnnie Dodds Blvd
Ste 101
Mt Pleasant, SC 29464
Phone (843) 849-8604

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": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1356722490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BRICKELL AVE STE N1700",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313105",
            "telephone_number": "843-628-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HENDERSONVILLE RD STE 105",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031763",
            "telephone_number": "843-628-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCEK",
        "first_name": "CASEY",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2024-04-25",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "AUD 4024",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "12266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.