Individual provider Active NPI

Michele Pittera Phillips, AU.D.

  • Audiologist
  • Port St Lucie, FL
National Provider Identifier
1508008095
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1398 Issued in FL
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

Updated by the provider on Mar 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20090604000590 FL Practitioner - Qualified Audiologist 1456401827 Reassigns benefits to 2 organizations

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
ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

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 100Reported as group
Quality
81.3
Improvement activities
40
Cost
72.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Ear, Nose & Throat, LLC CurrentSince Nov 1, 2022 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.