Individual provider Active NPI

Rachel Leblanc, AU.D, CCC-A

  • Audiologist
  • Midland, MI
National Provider Identifier
1740770775
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000795 Issued in MI
Practice address
801 Joe Mann Blvd Ste H
Midland, MI 48642-8909
Phone
(989) 794-5404
Fax
(989) 835-8720
NPI assigned
May 15, 2018
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000795 MI Primary

Addresses

Primary practice location

801 Joe Mann Blvd Ste H
Midland, MI 48642-8909

Mailing address

801 Joe Mann Blvd Ste H
Midland, MI 48642-8909
Phone (989) 794-5404

Other names 1

  • Rachel Balog Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180620002484 MI Practitioner - Qualified Audiologist 1557616224 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GLB ENT PLLCGroup PAC ID 9537694708, 4 clinicians

Practice addresses (Care Compare)

715 E Main St
Suite 115
Midland, MI 48640-5488
Phone (989) 486-1457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Bay Hearing LLC Audiologist CurrentSince Aug 1, 2024 Accepting new patients
GLB ENT PLLC CurrentSince Oct 1, 2024 Accepting new patients
Ear Nose Throat and Plastic Surgery Associates PC Audiologist CurrentSince May 29, 2018 Accepting new patients
Steven C Reschak DO PC PastSince May 29, 2018 Accepting new patients

Locations

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

3455 Regency Park Dr
Grand Blanc, MI 48439
Phone (810) 694-0600

112 W Wackerly St
Midland, MI 48640
Phone (989) 486-1457

715 E Main St
Ste 115
Midland, MI 48640
Phone (989) 486-1457

Organizations & group practices 4

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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1740770775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 JOE MANN BLVD STE H",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428909",
            "telephone_number": "989-794-5404",
            "fax_number": "989-835-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 JOE MANN BLVD STE H",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486428909",
            "telephone_number": "989-794-5404",
            "fax_number": "989-835-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "RACHEL",
        "credential": "AU.D, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "BALOG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.