Active NPI
Christine Renee Fluegel, MA CCC-A
- Audiologist-Hearing Aid Fitter
- Monona, WI
National Provider Identifier
1386819191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 417-156
- Practice address
- 6408 Copps Ave
Monona, WI 53716-3702 - Phone
- (608) 417-3000
- NPI assigned
- Apr 23, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 417-156 | WI | Primary |
| Audiologist | 231H00000X | 417-156 | WI |
Addresses
Primary practice location
6408 Copps Ave
Monona, WI 53716-3702
Mailing address
202 S Park St
Madison, WI 53715-1507
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41146200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3385 Dexter CT
Suite 101
Davenport, IA 52807-3471
Phone (563) 359-1646
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00530 | IA | MD | Clinical Psychologist |
| 417 | WI | MD | Marriage & Family Therapist |
| 417-156 | WI | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Professional Services, PC | Current | Accepting new patients | |
| ENT Hearing AIDS, LLC | Audiologist | Past | Accepting new patients |
Locations
3385 Dexter Ct
Ste 101
Davenport, IA 52807
Phone (319) 359-1646
3385 Dexter Ct
Davenport, IA 52807
Phone (563) 344-6645
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.237
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 and National Provider Directory roles.
-
- Specialist
- Davenport, IA
- NPI 1457499758
-
- Audiologist
- Davenport, IA
- NPI 1316189715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357257600000",
"number": "1386819191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S PARK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537151507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6408 COPPS AVE",
"city": "MONONA",
"state": "WI",
"postal_code": "537163702",
"telephone_number": "608-417-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLUEGEL",
"first_name": "CHRISTINE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "MA CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2013-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WI",
"license": "417-156",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "417-156",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41146200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.