Individual provider Active NPI

Jane Walberg, AU.D.

  • Audiologist
  • Winter Park, FL
National Provider Identifier
1548911415
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY2543 Issued in FL
Practice address
133 Benmore Dr Ste 100
Winter Park, FL 32792-4111
Phone
(407) 644-4883
NPI assigned
Jan 12, 2022
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY2543 FL Primary
Audiologist-Hearing Aid Fitter 237600000X AY2543 FL

Addresses

Primary practice location

133 Benmore Dr Ste 100
Winter Park, FL 32792-4111

Mailing address

133 Benmore Dr Ste 100
Winter Park, FL 32792-4111
Phone (407) 644-4883

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwalberg@entorlando.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602001430 FL Practitioner - Qualified Audiologist 5890152094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Ear Nose and Throat Surgical Associates PAGroup PAC ID 2466437926, 49 clinicians

Practice addresses (Care Compare)

133 Benmore Dr
Suite 100
Winter Park, FL 32792-4111
Phone (407) 644-4883

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
86.06
Promoting interoperability
100
Improvement activities
40
Cost
65.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY2543FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Ear Nose and Throat Surgical Associates PA CurrentSince Apr 17, 2023 Accepting new patients
Didonne Enterprises Inc PastSince Jan 1, 2022 Accepting new patients

Locations

107 Hermits Trl
Altamonte Springs, FL 32701
Phone (407) 834-9120

400 Celebration Pl
Ste A120
Kissimmee, FL 34747
Phone (407) 228-8066

133 Benmore Dr
Ste 100
Winter Park, FL 32792

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": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1548911415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BENMORE DR STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924111",
            "telephone_number": "407-644-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 BENMORE DR STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924111",
            "telephone_number": "407-644-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALBERG",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2543",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY2543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwalberg@entorlando.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "133 Benmore Dr Ste 100",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327924111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.