Individual provider Active NPI

Madeline Marie Sermersheim, AUD

  • Audiologist
  • Louisville, KY
National Provider Identifier
1760094932
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
264871 Issued in KY
Practice address
1050 E Market St Ste 1
Louisville, KY 40206-1874
Phone
(502) 588-8905
Fax
(502) 588-9580
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 264871 KY Primary

Addresses

Primary practice location

1050 E Market St Ste 1
Louisville, KY 40206-1874

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220207002206 KY Practitioner - Qualified Audiologist 2365835741 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
264871KYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC CurrentSince Oct 1, 2021 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Oct 1, 2021 Accepting new patients
Norton Childrens Medical Group, LLC Past Accepting new patients

Locations

411 E Chestnut St
#6
Louisville, KY 40202
Phone (502) 588-9587

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

1100 E Market St
Louisville, KY 40206
Phone (502) 596-1000

1050 E Market St
Ste 1
Louisville, KY 40206
Phone (502) 588-8905

Interoperability endpoints

  • Direct secure messaging: mkaiser218526@direct.nortonhealthcare.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1760094932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E MARKET ST STE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061874",
            "telephone_number": "502-588-8905",
            "fax_number": "502-588-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERMERSHEIM",
        "first_name": "MADELINE",
        "middle_name": "MARIE",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "264871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.