Individual provider Active NPI

Melissa Ann Sanders, H.I.S.

  • Hearing Instrument Specialist
  • Hudson, WI
National Provider Identifier
1407269954
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
1425-60 Issued in WI
Practice address
217 Vine St
# 205
Hudson, WI 54016
Phone
(715) 245-8175
NPI assigned
Jun 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2775 MN
Hearing Instrument Specialist 237700000X 1425-60 WI Primary

Addresses

Primary practice location

217 Vine St
# 205
Hudson, WI 54016

Mailing address

1923 State Road 35
Somerset, WI 54025-7424
Phone (612) 400-5055

Other practice location 1

107 12th St W
Hastings, MN 55033-2320
Phone (651) 438-4160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1425-60WIMDHearing Instrument Specialist
2775MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miracle Ear, Inc Hearing Instrument Specialist PastSince Oct 1, 2021 Accepting new patients
Neve, Inc Hearing Instrument Specialist Past Accepting new patients
Rem Audiology Associates, P.C. Past Accepting new patients
Audiology Services Company USA, LLC Hearing Instrument Specialist Past Accepting new patients

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1407269954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 STATE ROAD 35",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "540257424",
            "telephone_number": "612-400-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 VINE ST",
            "address_2": "# 205",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "54016",
            "telephone_number": "715-245-8175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 12th St W",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MN",
            "postal_code": "550332320",
            "country_code": "US",
            "telephone_number": "651-438-4160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "H.I.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "2775",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WI",
            "license": "1425-60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.