Individual provider Active NPI

Marianne Theresa Fortino

  • Audiologist
  • Chesterfield, MI
National Provider Identifier
1649413683
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000222 Issued in MI
Practice address
31141 23 Mile Rd
Chesterfield, MI 48047-1862
Phone
(586) 725-5380
Fax
(586) 229-2495
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 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 1601000222 MI Primary

Addresses

Primary practice location

31141 23 Mile Rd
Chesterfield, MI 48047-1862

Mailing address

31141 23 Mile Rd
Chesterfield, MI 48047-1862
Phone (586) 725-5380

Other practice location 1

51850 Dequindre Rd Ste 4
Shelby Township, MI 48316-2806
Phone (586) 930-0660

Other practice location 2

1057 Suncrest Dr
Lapeer, MI 48446-4404
Phone (810) 664-4479

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131204001081 MI Practitioner - Qualified Audiologist 7416183074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31141 23 Mile Rd
Chesterfield, MI 48047-1862
Phone (586) 725-5380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Consultants of Southeast Michigan, LLC Audiologist CurrentSince Nov 12, 2025 Accepting new patients

Locations

31141 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 725-5380

51850 Dequindre Rd
Ste 4
Shelby Township, MI 48316
Phone (586) 930-0660

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": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1649413683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31141 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480471862",
            "telephone_number": "586-725-5380",
            "fax_number": "586-229-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31141 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480471862",
            "telephone_number": "586-725-5380",
            "fax_number": "586-229-2495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51850 Dequindre Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Shelby Township",
            "state": "MI",
            "postal_code": "483162806",
            "country_code": "US",
            "telephone_number": "586-930-0660",
            "fax_number": "248-266-6535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1057 Suncrest Dr",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484464404",
            "country_code": "US",
            "telephone_number": "810-664-4479",
            "fax_number": "248-266-6535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTINO",
        "first_name": "MARIANNE",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.