Individual provider Active NPI

Jamie L Grusecki, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Surprise, AZ
National Provider Identifier
1497076111
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
DA4117 Issued in AZ
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

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1992058275OtherORGANIZATION NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110608000822 AZ Practitioner - Qualified Audiologist 0749467272 Reassigns benefits to 1 organization

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
Grusecki Audiology and Hearing AidGroup PAC ID 0840614707, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Grusecki Audiology & Hearing Aid CurrentSince Jun 1, 2011 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.

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.

Verify at the official NPI Registry.