Ian Anderson, HIS

Individual provider Active NPI Hearing Instrument Specialist · Duluth, MN

NPI 1801610969 · NPPES record last updated Aug 29, 2025

Key facts

NPI
1801610969
Entity type
Individual (NPI type 1)
Primary specialty
Hearing Instrument Specialist 237700000X
License
134325 (IA)
Practice address
2216 Mountain Shadow Dr
Duluth, MN 55811-3838
Phone
(218) 722-6611
Fax
(218) 249-0736
NPI assigned
Nov 14, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2965MNMDProfessional Counselor
134325IAMDHearing Instrument Specialist
2075-60WIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Hearing Instrument Specialist Past Accepting new patients
Audiology Services Company USA, LLC Past
since Apr 20, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2075-60 WI
Hearing Instrument Specialist 237700000X 2965 MN
Hearing Instrument Specialist 237700000X 134325 IA Yes

Addresses

Primary practice location

2216 Mountain Shadow Dr
Duluth, MN 55811-3838

Mailing address

2216 Mountain Shadow Dr
Duluth, MN 55811-3838
Phone (218) 722-6611

Other providers in Duluth, MN

All providers in Duluth, MN · Hearing Instrument Specialist in Minnesota

Sources for this page

Verify at the official NPI Registry.