Active NPI
Kristine M Bayer, AU.D
- Audiologist
- Mequon, WI
National Provider Identifier
1386607448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 275-156
- Practice address
- 10610 N Port Washington Road
Mequon, WI 53092 - Phone
- (414) 771-6780
- Fax
- (414) 238-2424
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 275-156 | WI | Primary |
Addresses
Primary practice location
10610 N Port Washington Road
Mequon, WI 53092
Mailing address
2885 N Mayfair Rd
Milwaukee, WI 53222-4404
Phone (414) 771-6780
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00019004301 | Other | WI | MANAGED HEALTH-WISCONSIN |
| 41134800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060626000050 | WI | Practitioner - Qualified Audiologist | 9133131758 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hear Wisconsin, Inc.
Practice addresses (Care Compare)
10243 W National Ave
West Allis, WI 53227-2028
Phone (414) 604-2200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275 | WI | MD | Athletic Trainer |
| 275-156 | WI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hear Wisconsin, Inc. | Current | Accepting new patients |
Locations
10243 W National Ave
West Allis, WI 53227
Phone (414) 604-2200
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": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478131200000",
"number": "1386607448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2885 N MAYFAIR RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532224404",
"telephone_number": "414-771-6780",
"fax_number": "414-238-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10610 N PORT WASHINGTON ROAD",
"city": "MEQUON",
"state": "WI",
"postal_code": "53092",
"telephone_number": "414-771-6780",
"fax_number": "414-238-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYER",
"first_name": "KRISTINE",
"middle_name": "M",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2016-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "275-156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH-WISCONSIN",
"identifier": "00019004301",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41134800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.