Jessie Anne Skog

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000701 Issued in MI

Practice address

333 Magazine St
Suite #3
Sault Sainte Marie, MI 49783-1867

Phone

(906) 632-3277

Fax

(906) 253-1069

NPI assigned

Jun 1, 2015

Last updated

Nov 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessie Ziller Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Superior Audiology, LLCGroup PAC ID 3375889975, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Superior Audiology, LLC

  • Audiologist
  • Sault Sainte Marie, MI
  • NPI 1922570381
  Medicare reassignment Care Compare group
• Schoolcraft Memorial Hospital

  • Critical Access Hospital
  • Manistique, MI
  • NPI 1700805157
  Medicare reassignment NPD
• Schoolcraft Memorial Hospital

  dba Schoolcraft Memorial Hospital Rural Health Clinic Naubinway

  • Rural Health Clinic/Center
  • Naubinway, MI
  • NPI 1881254605
  NPD

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1487034963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MAGAZINE ST",
            "address_2": "SUITE #3",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831867",
            "telephone_number": "906-632-3277",
            "fax_number": "906-632-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAGAZINE ST",
            "address_2": "SUITE #3",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831867",
            "telephone_number": "906-632-3277",
            "fax_number": "906-253-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOG",
        "first_name": "JESSIE",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "ZILLER",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clayton C Shunk, D.D.S.
• Eric Siesel
• Kyle Russell Silvas
• Debbie J Sirk
• Daniel Mark Skog, MA CCC-SLP
• Jill Slater
• Jade D Small, P.A.
• Ashley Smith
• Kristen Kay Smith, LMT
• Steven K Smith

• Audiologist in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.