Individual provider Active NPI

Michele Anne Drevnick, M.S., F-AAA

  • Audiologist
  • Hudson, WI
National Provider Identifier
1548267396
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
173-156 Issued in WI
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
900174681012OtherWIBLUE CROSS BS WISCONSIN
41121100MedicaidWI

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

LicenseStateTypeSpecialty
173WIMDPerfusionist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Hearing & Speech Clinic Inc Audiologist PastSince Jan 1, 1990 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.

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.

Verify at the official NPI Registry.