Individual provider Active NPI

Margaret M Sass-Simon, MA CCCA

  • Audiologist-Hearing Aid Fitter
  • Spring Lake, MI
National Provider Identifier
1669463113
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
3501001785 Issued in MI
Practice address
6653 Grand Haven Rd
Spring Lake, MI 49456-9616
Phone
(231) 798-2323
Fax
(231) 798-4410
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 3501001785 MI Primary

Addresses

Primary practice location

6653 Grand Haven Rd
Spring Lake, MI 49456-9616

Mailing address

6653 Grand Haven Rd
Spring Lake, MI 49456-9616
Phone (231) 798-2323

Other identifiers 3

IdentifierTypeStateIssuer
640G011250OtherBS HEARING
804711136MedicaidMI
P33046FOtherMIBCN HMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041119000375 MI Practitioner - Qualified Audiologist 4981668894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Wellness Center Inc.Group PAC ID 3870683790, 3 clinicians

Practice addresses (Care Compare)

6653 Grand Haven Rd
Norton Shores, MI 49456-9616
Phone (231) 798-2323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3501001785MIMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Wellness Center Inc. Audiologist-Hearing Aid Fitter CurrentSince Jan 1, 2007 Accepting new patients

Locations

6653 Grand Haven Rd
Norton Shores, MI 49456
Phone (231) 798-2323

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1669463113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6653 GRAND HAVEN RD",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569616",
            "telephone_number": "231-798-2323",
            "fax_number": "231-798-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6653 GRAND HAVEN RD",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569616",
            "telephone_number": "231-798-2323",
            "fax_number": "231-798-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASS-SIMON",
        "first_name": "MARGARET",
        "middle_name": "M",
        "credential": "MA CCCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "3501001785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS HEARING",
            "identifier": "640G011250",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804711136",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN HMO",
            "identifier": "P33046F",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.