Jason Ryan Leyendecker, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

8450 Issued in MN

Practice address

6444 Xerxes Ave S
Edina, MN 55423-1039

Phone

(952) 831-4222

Fax

(952) 831-4942

NPI assigned

Dec 6, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Audiology Concepts LLCGroup PAC ID 9830469766, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jleyendecker647155@excellian.direct.allina.com

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.

• Audiology Concepts, LLC

  • Audiologist
  • Edina, MN
  • NPI 1710413547
  Medicare reassignment Care Compare group NPD Authorized official
• Allina Health System

  • Family Medicine Physician
  • Annandale, MN
  • NPI 1457657249
  Medicare reassignment NPD
• Allina Health System

  • Obesity Medicine (Family Medicine) Physician
  • St Paul, MN
  • NPI 1750783676
  NPD
• Allina Health System

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD
• Audiology Concepts, LLC

  • Audiologist
  • Forest Lake, MN
  • NPI 1710612320
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1548563000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6444 XERXES AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554231039",
            "telephone_number": "952-831-4222",
            "fax_number": "952-831-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 XERXES AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554231039",
            "telephone_number": "952-831-4222",
            "fax_number": "952-831-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYENDECKER",
        "first_name": "JASON",
        "middle_name": "RYAN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MN",
            "license": "8450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MINNESOTA LICENSE",
            "identifier": "8450",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Bruce Leverentz, MD
• Emily Beth Lewandowski, MSW, LICSW
• Jon Michael Lewis, M.D.
• Lindsay Lewis, MD
• Lisa T Ley, PA-C
• Courtney Marie Lezanic, MSW, LICSW
• Huagui Li, M.D.
• Kevin Joseph Liberko, D.D.S.
• Liberty Care Services Inc
• Cindy S Libman, LICSW LMFT

• Audiologist in Edina, MN
• Providers in Edina, MN by specialty
• Audiologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.