Individual provider Active NPI

Patsy Dawn Bledsoe, AUD

  • Audiologist-Hearing Aid Fitter
  • Boerne, TX
National Provider Identifier
1487748463
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
80286 Issued in TX
Practice address
128 W Bandera Rd
Suite 3
Boerne, TX 78006-2903
Phone
(830) 331-8387
Fax
(830) 331-8387
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80286 TX
Audiologist-Hearing Aid Fitter 237600000X 80286 TX Primary

Addresses

Primary practice location

128 W Bandera Rd
Suite 3
Boerne, TX 78006-2903

Mailing address

961 Water St
Kerrville, TX 78028-3541
Phone (830) 890-5800

Other identifiers 1

IdentifierTypeStateIssuer
212437202MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100609000563 TX Practitioner - Qualified Audiologist 3971689209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates of Audiology LLCGroup PAC ID 4789816307, 5 clinicians

Practice addresses (Care Compare)

1202 E Sonterra Blvd
Suite 302
San Antonio, TX 78258-4090
Phone (210) 334-0245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01143MDMDPsychologist
80286TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates of Audiology LLC Audiologist CurrentSince Jan 1, 2014 Accepting new patients
Stonewall Jackson Memorial Hospital Co PastSince Jan 1, 2014 Accepting new patients

Locations

34910 Interstate 10 W
Ste 403
Boerne, TX 78006
Phone (830) 331-8510

2632 Broadway St
Ste 102S
San Antonio, TX 78215
Phone (201) 451-0373

1202 E Sonterra Blvd
Ste 302
San Antonio, TX 78258
Phone (210) 334-0245

Organizations & group practices 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1487748463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 WATER ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283541",
            "telephone_number": "830-890-5800",
            "fax_number": "830-890-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W BANDERA RD",
            "address_2": "SUITE 3",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062903",
            "telephone_number": "830-331-8387",
            "fax_number": "830-331-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "PATSY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80286",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212437202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.