Individual provider Active NPI

Michelle L Fleck, CCC-A

  • Audiologist
  • Worcester, MA
National Provider Identifier
1467592592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
726 Issued in MA
Practice address
48 Elm St
Worcester, MA 01609-2541
Phone
(508) 757-0330
Fax
(508) 754-9426
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 726 MA Primary

Addresses

Primary practice location

48 Elm St
Worcester, MA 01609-2541

Mailing address

48 Elm St
Worcester, MA 01609-2541

Other identifiers 1

IdentifierTypeStateIssuer
AD0106OtherMABLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160413001976 MA Practitioner - Qualified Audiologist 6507164225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Otolaryngology Head and Neck Surgery, PCGroup PAC ID 6507839438, 9 clinicians

Practice addresses (Care Compare)

100 MLK Jr Blvd
Suite 4
Worcester, MA 01608-1209
Phone (508) 757-0330

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
726MAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Otolaryngology Head and Neck Surgery PC CurrentSince Feb 12, 2016 Accepting new patients

Locations

100 Mlk Jr Blvd
Ste 4
Worcester, MA 01608
Phone (508) 757-0330

100 Mlk Jr Blvd
Worcester, MA 01608
Phone (508) 754-3823

48 Elm St
Worcester, MA 01609
Phone (508) 757-0330

Organizations & group practices 1

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467592592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ELM ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ELM ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092541",
            "telephone_number": "508-757-0330",
            "fax_number": "508-754-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLECK",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "AD0106",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.