Individual provider Active NPI

Gary L Wyeno, AUD

  • Audiologist-Hearing Aid Fitter
  • Hastings, NE
National Provider Identifier
1770568909
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Practice address
2115 N Kansas Ave
Midwest Ear Nose & Throat Specialists PC
Hastings, NE 68901-2644
Phone
(402) 463-2431
Fax
(402) 462-2486
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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 Primary

Addresses

Primary practice location

2115 N Kansas Ave
Midwest Ear Nose & Throat Specialists PC
Hastings, NE 68901-2644

Mailing address

2115 N Kansas Ave
Ste 203
Hastings, NE 68901-2644
Phone (402) 463-2431

Other identifiers 1

IdentifierTypeStateIssuer
47053662301MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090630000592 NE Practitioner - Qualified Audiologist 9335290485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2115 N Kansas Ave
Suite 203
Hastings, NE 68901-2615
Phone (402) 463-2431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
G L Wyeno Hearing Specialists PC CurrentSince Nov 8, 2017 Accepting new patients

Locations

2115 N Kansas Ave
Ste 203
Hastings, NE 68901
Phone (402) 463-2431

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1770568909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 N KANSAS AVE",
            "address_2": "STE 203",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689012644",
            "telephone_number": "402-463-2431",
            "fax_number": "402-462-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 N KANSAS AVE",
            "address_2": "MIDWEST EAR NOSE & THROAT SPECIALISTS PC",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689012644",
            "telephone_number": "402-463-2431",
            "fax_number": "402-462-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYENO",
        "first_name": "GARY",
        "middle_name": "L",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47053662301",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.