Active NPI
Jamie L Grusecki, AU.D.
- Audiologist-Hearing Aid Fitter
- Surprise, AZ
National Provider Identifier
1497076111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- DA4117
- Practice address
- 12133 W Bell Rd Ste 201
Surprise, AZ 85378-9408 - Phone
- (623) 583-1737
- Fax
- (623) 583-0607
- NPI assigned
- Jun 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | DA4117 | AZ | Primary |
Addresses
Primary practice location
12133 W Bell Rd Ste 201
Surprise, AZ 85378-9408
Mailing address
12133 W Bell Rd Ste 201
Surprise, AZ 85378-9408
Phone (623) 583-1737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992058275 | Other | ORGANIZATION NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12133 W Bell Rd
Suite 201
Surprise, AZ 85378-9408
Phone (623) 583-1737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grusecki Audiology & Hearing Aid | Current | Accepting new patients | |
| Dobbins Hearing Service, P.C. | Past | Accepting new patients | |
| Dobbins Hearing Service, P.C. | Past | Accepting new patients |
Locations
12691 W Smokey Dr
Ste 131
Surprise, AZ 85378
Phone (623) 583-1737
12133 W Bell Rd
Ste 201
Surprise, AZ 85378
Phone (623) 229-5825
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 and National Provider Directory roles.
-
- Hearing and Speech Clinic/Center
- Surprise, AZ
- NPI 1992058275
-
- Hearing and Speech Clinic/Center
- Glendale, AZ
- NPI 1558405118
-
- Hearing and Speech Clinic/Center
- Surprise, AZ
- NPI 1699819797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1497076111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12133 W BELL RD STE 201",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853789408",
"telephone_number": "623-583-1737",
"fax_number": "623-583-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12133 W BELL RD STE 201",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853789408",
"telephone_number": "623-583-1737",
"fax_number": "623-583-0607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUSECKI",
"first_name": "JAMIE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-16",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "AZ",
"license": "DA4117",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORGANIZATION NPI",
"identifier": "1992058275",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.