Individual provider Active NPI

Melinda Ann Kibler, M.S./CCC-A

  • Audiologist
  • Erie, PA
National Provider Identifier
1386676179
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT000431L Issued in PA
Practice address
1645 W 8TH St
#200
Erie, PA 16505-5007
Phone
(814) 864-9994
Fax
(814) 866-2655
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT000431L PA Primary

Addresses

Primary practice location

1645 W 8TH St
#200
Erie, PA 16505-5007

Mailing address

1645 W 8TH St
#200
Erie, PA 16505-5007
Phone (814) 864-9994

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000409 PA Practitioner - Qualified Audiologist 3173437779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1645 W 8TH St
Suite 200
Erie, PA 16505-5007
Phone 8148649994339

Merit-based Incentive Payment System (MIPS)

Final score
74.27 of 100Reported as group
Quality
48.53
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AT000431LPAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Specialists of Northwestern Pennsylvania CurrentSince Nov 1, 1990 Accepting new patients
Ear Nose and Throat Specialists of Northwestern Pennsylvania Audiologist PastSince Nov 1, 1990 Accepting new patients

Locations

3580 Peach St
Ste 106
Erie, PA 16508
Phone (814) 456-2031

1645 W 8th St
#200
Erie, PA 16505
Phone (814) 864-9994

1645 W 8th St
Ste 200
Erie, PA 16505
Phone (814) 864-9994

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1386676179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 W 8TH ST",
            "address_2": "#200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165055007",
            "telephone_number": "814-864-9994",
            "fax_number": "814-866-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W 8TH ST",
            "address_2": "#200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165055007",
            "telephone_number": "814-864-9994",
            "fax_number": "814-866-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBLER",
        "first_name": "MELINDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S./CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000431L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.