Active NPI
Michele Anne Drevnick, M.S., F-AAA
- Audiologist
- Hudson, WI
National Provider Identifier
1548267396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 173-156
- Practice address
- 401 Stageline Rd
Suite 6
Hudson, WI 54016-7897 - Phone
- (715) 531-6710
- Fax
- (715) 531-6711
- NPI assigned
- Jul 7, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 173-156 | WI | Primary |
Addresses
Primary practice location
401 Stageline Rd
Suite 6
Hudson, WI 54016-7897
Mailing address
401 Stageline Rd
Suite 6
Hudson, WI 54016-7897
Phone (715) 531-6710
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900174681012 | Other | WI | BLUE CROSS BS WISCONSIN |
| 41121100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173 | WI | MD | Perfusionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Hearing & Speech Clinic Inc | Audiologist | Past | Accepting new patients |
| Audigycare, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Hudson, WI
- NPI 1710984562
-
- Audiologist-Hearing Aid Fitter
- Vancouver, WA
- NPI 1720364920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1548267396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 STAGELINE RD",
"address_2": "SUITE 6",
"city": "HUDSON",
"state": "WI",
"postal_code": "540167897",
"telephone_number": "715-531-6710",
"fax_number": "715-531-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 STAGELINE RD",
"address_2": "SUITE 6",
"city": "HUDSON",
"state": "WI",
"postal_code": "540167897",
"telephone_number": "715-531-6710",
"fax_number": "715-531-6711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREVNICK",
"first_name": "MICHELE",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "M.S., F-AAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WI",
"license": "173-156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BS WISCONSIN",
"identifier": "900174681012",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41121100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.