Denise E Boatner, M.S., CCC-A

Key facts

NPI

1376664532

Entity type

Individual (NPI type 1)

Primary specialty

Audiologist-Hearing Aid Fitter 237600000X

License

A2838 (MS)

Practice address

618 Pegram Dr
Tupelo, MS 38801-6322

Phone

(662) 844-3583

Fax

(662) 840-8354

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

No

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.

• Ear, Nose & Throat Physicians of North Miss., P.a. Otolaryngology Physician · Tupelo, MS · NPI 1861507311
  Medicare reassignment Care Compare group NPD MS

Medicare Care Compare profile

Specialty

Qualified Audiologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear, Nose and Throat Physicians of North Miss., P.a (22 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.93 of 100 (group)

Quality

74.06

Promoting interoperability

85

Improvement activities

40

Cost

81.53

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MS

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Master of Science

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376664532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 PEGRAM DR",
            "address_2": "P.O. BOX 2180",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016322",
            "telephone_number": "662-844-3583",
            "fax_number": "662-840-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 PEGRAM DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016322",
            "telephone_number": "662-844-3583",
            "fax_number": "662-840-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATNER",
        "first_name": "DENISE",
        "middle_name": "E",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MS",
            "license": "A2838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04701341",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

• Kelsey O'Neal Blundell, DO
• BMR Chiropractic, PC
• Boa Vida Hospital of Aberdeen, Ms LLC
• Boa Vida Hospital of Aberdeen, Ms LLC
• Andrea Kay Boatman, LSW
• Richard Hunt Bobo, MD
• Henry B Boler, MD
• Michael Ted Boler Jr., D.O.
• Peggy L Boles, M.D.
• Dennis Davis Bond Sr., D.M.D.

All providers in Tupelo, MS · Audiologist-Hearing Aid Fitter in Mississippi