Active NPI
Michele Pittera Phillips, AU.D.
- Audiologist
- Port St Lucie, FL
National Provider Identifier
1508008095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1398
- Practice address
- 10377 S US Highway 1
Suite 101
Port St Lucie, FL 34952-5630 - Phone
- (772) 337-3700
- NPI assigned
- Mar 30, 2009
- 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 | 231H00000X | AY1398 | FL | Primary |
Addresses
Primary practice location
10377 S US Highway 1
Suite 101
Port St Lucie, FL 34952-5630
Mailing address
3866 SW Creekside Ter
Palm City, FL 34990-2523
Phone (772) 324-8131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 SE Hillmoor Dr
Suite B 105
Port St Lucie, FL 34952-7545
Phone (772) 398-9911
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.38 of 100
- Quality
- 81.3
- Improvement activities
- 40
- Cost
- 72.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Ear, Nose & Throat, LLC | Current | Accepting new patients | |
| Hearusa Inc | Past | Accepting new patients | |
| Audiology Distribution, LLC | Past | Accepting new patients |
Locations
1400 NW US 1
Stuart, FL 34994
Phone (772) 888-1880
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BEFDCD
Organizations & group practices 4
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.
-
- Otolaryngology Physician
- Boca Raton, FL
- NPI 1164473120
-
- Otolaryngology Physician
- Stuart, FL
- NPI 1063913713
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
-
- Audiologist-Hearing Aid Fitter
- Dublin, OH
- NPI 1164707998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1508008095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3866 SW CREEKSIDE TER",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349902523",
"telephone_number": "772-324-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10377 S US HIGHWAY 1",
"address_2": "SUITE 101",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349525630",
"telephone_number": "772-337-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "MICHELE",
"middle_name": "PITTERA",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-30",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.