Individual provider Active NPI

Michelle Lynn Garrett, AU.D.

  • Audiologist
  • Hagerstown, MD
National Provider Identifier
1740436815
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
01212 Issued in MD
Practice address
11110 Medical Campus Rd Ste 128
Hagerstown, MD 21742-6799
Phone
(301) 714-7390
Fax
(301) 714-4399
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X WV
Audiologist-Hearing Aid Fitter 237600000X 2201001375 VA
Hearing Instrument Specialist 237700000X 2101001716 VA
Audiologist 231H00000X 01212 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd Ste 128
Hagerstown, MD 21742-6799

Mailing address

11110 Medical Campus Rd Ste 128
Hagerstown, MD 21742-6799
Phone (301) 714-7390

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924000613 MD Practitioner - Qualified Audiologist 5698843944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians
Cumberland Valley ENT ConsultantsGroup PAC ID 3577511922, 5 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Suite 126
Hagerstown, MD 21742-6799
Phone (301) 241-7591

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
78.47
Improvement activities
40
Cost
80.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01212MDMDAudiologist
2201001375VAMDAudiologist-Hearing Aid Fitter
2101001716VAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Valley ENT Consultants CurrentSince Aug 26, 2019 Accepting new patients
Blue Ridge Speech & Hearing Center of Loudoun County, Inc. Audiologist Past Accepting new patients

Locations

6701 Democracy Blvd
Ste 300
Bethesda, MD 20817
Phone (443) 351-4650

163 Thomas Johnson Dr
Ste H
Frederick, MD 21702
Phone (301) 694-9111

11110 Medical Campus Rd
Ste 126
Hagerstown, MD 21742
Phone (301) 714-4375

1800 Dual Hwy
Ste 303
Hagerstown, MD 21740
Phone (301) 739-0400

1800 Dual Hwy
Ste 301
Hagerstown, MD 21740
Phone (301) 739-0400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7509/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1740436815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 128",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426799",
            "telephone_number": "301-714-7390",
            "fax_number": "301-714-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 128",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426799",
            "telephone_number": "301-714-7390",
            "fax_number": "301-714-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "VA",
            "license": "2201001375",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101001716",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.