Individual provider Active NPI

Brooke M Steckelberg

  • Hearing Instrument Specialist
  • Saint Cloud, MN
National Provider Identifier
1598891921
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
8012 Issued in MN
Practice address
1411 W Saint Germain St
#203
Saint Cloud, MN 56301-4121
Phone
(320) 654-0505
Fax
(320) 654-8421
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 8012 MN Primary

Addresses

Primary practice location

1411 W Saint Germain St
#203
Saint Cloud, MN 56301-4121

Mailing address

1528 Northway Dr
Saint Cloud, MN 56303-1255
Phone (320) 252-0233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071112000098 MN Practitioner - Qualified Audiologist 7012005960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Cloud Ear Nose and Throat Clinic PAGroup PAC ID 5496774242, 14 clinicians

Practice addresses (Care Compare)

1528 Northway Dr
Saint Cloud, MN 56303-1255
Phone (320) 252-0233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8012MNMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Cloud Ear, Nose & Throat Clinic, P.a. CurrentSince Nov 1, 2007 Accepting new patients

Locations

1528 Northway Dr
Saint Cloud, MN 56303
Phone (320) 252-0233

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1598891921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 NORTHWAY DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031255",
            "telephone_number": "320-252-0233",
            "fax_number": "320-252-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W SAINT GERMAIN ST",
            "address_2": "#203",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014121",
            "telephone_number": "320-654-0505",
            "fax_number": "320-654-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKELBERG",
        "first_name": "BROOKE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MN",
            "license": "8012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.