Individual provider Active NPI

Candy A McGinnis, AU.D.

  • Audiologist
  • Oshkosh, WI
National Provider Identifier
1528054871
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
200156 Issued in WI
Practice address
1820 West Pointe Dr
Oshkosh, WI 54902-4164
Phone
(920) 233-1800
Fax
(920) 232-1538
NPI assigned
Sep 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 200156 WI
Audiologist 231H00000X 200156 WI Primary

Addresses

Primary practice location

1820 West Pointe Dr
Oshkosh, WI 54902-4164

Mailing address

1820 West Pointe Dr.
Oshkosh, WI 54902-4164
Phone (920) 233-1800

Other identifiers 2

IdentifierTypeStateIssuer
1528054871OtherWINPI
41126500MedicaidWI

Other names 1

  • Candy A McGinnis-Dahl Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100611000672 WI Practitioner - Qualified Audiologist 3870623127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Valley Hearing CenterGroup PAC ID 3779637152, 5 clinicians

Practice addresses (Care Compare)

1820 W Pointe Dr
Oshkosh, WI 54902-4164
Phone (920) 267-4071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
200156WIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Hearing Center CurrentSince Feb 1, 2010 Accepting new patients

Locations

1820 West Pointe Dr
Oshkosh, WI 54902
Phone (920) 233-1800

Organizations & group practices 1

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1528054871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 WEST POINTE DR.",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024164",
            "telephone_number": "920-233-1800",
            "fax_number": "920-232-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 WEST POINTE DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024164",
            "telephone_number": "920-233-1800",
            "fax_number": "920-232-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "CANDY",
        "middle_name": "A",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WI",
            "license": "200156",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "200156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528054871",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41126500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDY",
            "last_name": "MCGINNIS-DAHL",
            "middle_name": "A",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.