Individual provider Active NPI

Sandra Jean Hepker, MS

  • Audiologist
  • Hillsdale, MI
National Provider Identifier
1497890149
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000348 Issued in MI
Practice address
67 East Saint Joe Street
Professional Hearing Services
Hillsdale, MI 49242
Phone
(517) 439-1610
Fax
(517) 439-5679
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000348 MI Primary

Addresses

Primary practice location

67 East Saint Joe Street
Professional Hearing Services
Hillsdale, MI 49242

Mailing address

67 East Saint Joe Street
Hillsdale, MI 49242
Phone (517) 439-1610

Other identifiers 2

IdentifierTypeStateIssuer
5400010140OtherMIBCBS
640C010120OtherMIBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120629000181 MI Practitioner - Qualified Audiologist 2860657699 Practice locations: Hillsdale, MI

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1231 Hudson Rd PO Box
Suite 733
Hillsdale, MI 49242-0733

PO Box
Suite 733
Hillsdale, MI 49242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1497890149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 EAST SAINT JOE STREET",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "49242",
            "telephone_number": "517-439-1610",
            "fax_number": "517-439-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 EAST SAINT JOE STREET",
            "address_2": "PROFESSIONAL HEARING SERVICES",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "49242",
            "telephone_number": "517-439-1610",
            "fax_number": "517-439-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPKER",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5400010140",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "640C010120",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.