Kelly Lynn Pritchett, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

222 Issued in NE

Practice address

203A Barkley Memorial Center
Lincoln, NE 68583-0731

Phone

(402) 472-8824

Fax

(402) 472-3814

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 7

Other names 1

• Kelly Lynn Wacker Former name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Nebraska College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Nebraska Board of RegentsGroup PAC ID 3971564279, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• University of Nebraska Board of Regents

  • Specialist
  • Omaha, NE
  • NPI 1164645818

  NE

  Medicare reassignment Care Compare group NPD
• University of Nebraska Board of Regents

  • Eyewear Supplier
  • Omaha, NE
  • NPI 1316979628
  NPD
• University of Nebraska Board of Regents

  • Audiologist
  • Lincoln, NE
  • NPI 1851332035
  NPD
• Audiology Innovations, P.C.

  • Audiologist
  • Bloomington, IL
  • NPI 1932473345
  NPD (past)
• Bloomington Normal Audiology

  • Audiologist
  • Bloomington, IL
  • NPI 1740378074
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1417045733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203A BARKLEY MEMORIAL CENTER",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685830731",
            "telephone_number": "402-472-8824",
            "fax_number": "402-472-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203A BARKLEY MEMORIAL CENTER",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685830731",
            "telephone_number": "402-472-8824",
            "fax_number": "402-472-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHETT",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NE",
            "license": "689",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NE",
            "license": "076",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NE",
            "license": "222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37041",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE AUDIOLOGY LICENSE",
            "identifier": "222",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025369400",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE LICENSE HEARING AID DI",
            "identifier": "689",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025369300",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "147001173",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-RAILROAD",
            "identifier": "P00453085",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "WACKER",
            "middle_name": "LYNN",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Lincoln, NE
• Audiologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.