Individual provider Active NPI

Joseph Pacer

  • Audiologist-Hearing Aid Fitter
  • St Charles, IL
National Provider Identifier
1376798140
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
147.000445 Issued in IL
Practice address
2210 Dean St Ste L
St Charles, IL 60175-1059
Phone
(630) 461-9833
Fax
(847) 741-8587
NPI assigned
Nov 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 147.000445 IL Primary

Addresses

Primary practice location

2210 Dean St Ste L
St Charles, IL 60175-1059

Mailing address

2210 Dean St Ste L
St Charles, IL 60175-1059
Phone (630) 461-9833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090226000304 IL Practitioner - Qualified Audiologist 7214093293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Valley Ear, Nose and Throat, Assoc., S.C.Group PAC ID 7517858764, 6 clinicians

Practice addresses (Care Compare)

2210 Dean St
Suite L
Saint Charles, IL 60175-1059
Phone (630) 377-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147.000445ILMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Ear, Nose and Throat, Assoc., S.C. CurrentSince Oct 1, 2008 Accepting new patients

Locations

2971 W Algonquin Rd
Ste 102
Algonquin, IL 60102
Phone (847) 854-0005

750 Fletcher Dr
Ste 100
Elgin, IL 60123
Phone (847) 741-3677

1015 Summit St
Elgin, IL 60120
Phone (847) 742-6888

2210 Dean St
Ste L
St Charles, IL 60175
Phone (630) 377-5000

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": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1376798140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST STE L",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751059",
            "telephone_number": "630-461-9833",
            "fax_number": "847-741-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST STE L",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751059",
            "telephone_number": "630-461-9833",
            "fax_number": "847-741-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACER",
        "first_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147.000445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.