Individual provider Active NPI

Kristen Kruse Hamilton, AUD

  • Audiologist
  • Palm Harbor, FL
National Provider Identifier
1396026910
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2646 Issued in FL
Practice address
33917 US Highway 19 N
Palm Harbor, FL 34684-2628
Phone
(727) 771-8770
Fax
(727) 771-8771
NPI assigned
Sep 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80298 TX
Audiologist 231H00000X AY2646 FL Primary

Addresses

Primary practice location

33917 US Highway 19 N
Palm Harbor, FL 34684-2628

Mailing address

1308 Middlesex Dr
New Port Richey, FL 34655-4242
Phone (817) 751-8215

Other names 1

  • Kristen Kruse Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230419001076 FL Practitioner - Qualified Audiologist 8123493491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Hearing Group LLCGroup PAC ID 8325413677, 8 clinicians

Practice addresses (Care Compare)

33917 US Hwy 19 N
Audiology and Hearing Center of Palm
Palm Harbor, FL 34684-2628
Phone (727) 771-8770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2646FLMDAudiologist
80298TXMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Hearing Group LLC Audiologist CurrentSince Mar 1, 2023 Accepting new patients
Jack Jones Hearing Centers, Inc. Audiologist Past Accepting new patients
Audiology and Hearing Center of Tampa LLC Audiologist PastSince Mar 1, 2020 Accepting new patients

Locations

33917 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 771-8770

15310 Amberly Dr
Ste 170
Tampa, FL 33647
Phone (813) 374-3036

149 Plantation Ridge Dr
Ste 110
Mooresville, NC 28117

149 Plantation Ridge Dr
Ste 140
Mooresville, NC 28117

Organizations & group practices 4

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": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1396026910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 MIDDLESEX DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554242",
            "telephone_number": "817-751-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33917 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842628",
            "telephone_number": "727-771-8770",
            "fax_number": "727-771-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "KRISTEN",
        "middle_name": "KRUSE",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-09",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80298",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "KRUSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.