Individual provider Active NPI

Jennifer L Hartze, AUD

  • Audiologist
  • Missoula, MT
National Provider Identifier
1477684199
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
SLP-AU-LIC-734 Issued in MT
Practice address
317 S Orange St
Missoula, MT 59801-1810
Phone
(406) 549-1951
Fax
(406) 542-5682
NPI assigned
Mar 7, 2007
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X SLP-AU-LIC-734 MT Primary
Audiologist-Hearing Aid Fitter 237600000X SLP-AU-LIC-734 MT

Addresses

Primary practice location

317 S Orange St
Missoula, MT 59801-1810

Mailing address

317 S Orange St
Missoula, MT 59801-1810
Phone (406) 549-1951

Other practice location 1

1 14th Ave W
Polson, MT 59860-5306
Phone (406) 549-1951

Other practice location 2

80 Four Mile Dr Ste 16
Kalispell, MT 59901-2665
Phone (406) 549-1951

Other practice location 3

299 Fairgrounds Rd Unit 4
Hamilton, MT 59840-3199
Phone (406) 549-1951

Other practice location 4

12 Mt Highway 28
Plains, MT 59859-9601
Phone (406) 549-1951

Other identifiers 5

IdentifierTypeStateIssuer
248OtherMTHEARING AID LIC
5602792MedicaidMT
734OtherMTAUDIOLOGY LIC
0533273MedicaidMT
29478OtherMTBCBS ALLIED PROVIDER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100308000802 MT Practitioner - Qualified Audiologist 7517002058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vibrant Sound Works IncGroup PAC ID 8426193228, 3 clinicians

Practice addresses (Care Compare)

317 S Orange St
Missoula, MT 59801-1810
Phone (406) 549-1951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
734MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vibrant Sound Works, Inc Audiologist CurrentSince Aug 28, 2015 Accepting new patients
Comprehensive Hearing Services, Inc. Audiologist PastSince Sep 1, 2009 Accepting new patients
Micken Hearing Services Audiologist-Hearing Aid Fitter Past Accepting new patients

Locations

299 Fairgrounds Rd
Unit 4
Hamilton, MT 59840

80 Four Mile Dr
Ste 16
Kalispell, MT 59901
Phone (406) 314-4095

317 S Orange St
Missoula, MT 59801

601 S Orange St
Missoula, MT 59801

1 14th Ave W
Polson, MT 59860
Phone (406) 531-8943

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1477684199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S ORANGE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011810",
            "telephone_number": "406-549-1951",
            "fax_number": "406-542-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S ORANGE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011810",
            "telephone_number": "406-549-1951",
            "fax_number": "406-542-5682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 14th Ave W",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598605306",
            "country_code": "US",
            "telephone_number": "406-549-1951",
            "fax_number": "406-542-5682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Four Mile Dr Ste 16",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599012665",
            "country_code": "US",
            "telephone_number": "406-549-1951",
            "fax_number": "406-542-5682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "299 Fairgrounds Rd Unit 4",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "MT",
            "postal_code": "598403199",
            "country_code": "US",
            "telephone_number": "406-549-1951",
            "fax_number": "406-542-5682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Mt Highway 28",
            "address_purpose": "LOCATION",
            "city": "Plains",
            "state": "MT",
            "postal_code": "598599601",
            "country_code": "US",
            "telephone_number": "406-549-1951",
            "fax_number": "406-542-5682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTZE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MT",
            "license": "SLP-AU-LIC-734",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MT",
            "license": "SLP-AU-LIC-734",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID LIC",
            "identifier": "248",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5602792",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY LIC",
            "identifier": "734",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0533273",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ALLIED PROVIDER",
            "identifier": "29478",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.