Individual provider Active NPI

Jeffrey James Shymanski, AU.D., CCC-A

  • Audiologist
  • Ankeny, IA
National Provider Identifier
1629844485
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
123257 Issued in IA
Practice address
3720 N Ankeny Blvd Ste 103
Ankeny, IA 50023-4619
Phone
(515) 499-8622
NPI assigned
Dec 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 123380 IA
Audiologist 231H00000X 123257 IA Primary

Addresses

Primary practice location

3720 N Ankeny Blvd Ste 103
Ankeny, IA 50023-4619

Mailing address

3720 N Ankeny Blvd Ste 103
Ankeny, IA 50023-4619
Phone (515) 499-8622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231221000570 IA Practitioner - Qualified Audiologist 4880044593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merit Hearing LLCGroup PAC ID 0244579696, 5 clinicians

Practice addresses (Care Compare)

3720 N Ankeny Blvd
103 Merit Hearing
Ankeny, IA 50023-4619
Phone (515) 499-8622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123257IAMDAudiologist
123380IAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Merit Hearing LLC CurrentSince Dec 5, 2023 Accepting new patients

Locations

3720 N Ankeny Blvd
Ste 103
Ankeny, IA 50023
Phone (515) 639-3775

3434 W Broadway
Ste 100B
Council Bluffs, IA 51501

1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114

2910 Westown Pkwy
Ste 110
West Des Moines, IA 50266
Phone (515) 499-8622

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, 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": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1629844485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 N ANKENY BLVD STE 103",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234619",
            "telephone_number": "515-499-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 N ANKENY BLVD STE 103",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234619",
            "telephone_number": "515-499-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHYMANSKI",
        "first_name": "JEFFREY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "123380",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "123257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

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