Individual provider Active NPI

Shanna M Dewsnup, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Peoria, AZ
National Provider Identifier
1821435249
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
DA8426 Issued in AZ
Practice address
8877 W Union Hills Dr BLDG C
Suite B350
Peoria, AZ 85382-3008
Phone
(623) 428-0727
Fax
(623) 738-3918
NPI assigned
May 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X DA8426 AZ
Audiologist-Hearing Aid Fitter 237600000X 680 CO
Audiologist-Hearing Aid Fitter 237600000X DA8426 AZ Primary

Addresses

Primary practice location

8877 W Union Hills Dr BLDG C
Suite B350
Peoria, AZ 85382-3008

Mailing address

8877 W Union Hills Dr Ste 350
Peoria, AZ 85382-3026
Phone (623) 428-0727

Other names 1

  • Shanna M Mortensen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150904000915 AZ Practitioner - Qualified Audiologist 7517273048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Happy Ears Hearing CenterGroup PAC ID 5890001325, 5 clinicians

Practice addresses (Care Compare)

4915 E Baseline Rd
Suite 123
Gilbert, AZ 85234-2969
Phone (480) 562-6001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA8426AZMDAudiologist-Hearing Aid Fitter
680COMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Ears Balance Center Audiologist Current Accepting new patients
Arizona Hearcare Network, Inc Audiologist-Hearing Aid Fitter Past Accepting new patients

Locations

6116 E Arbor Ave
Ste 110
Mesa, AZ 85206
Phone (480) 562-6001

8877 W Union Hills Dr
Ste 350
Peoria, AZ 85382
Phone (623) 428-0727

14757 W Mountain View Blvd
Ste 120
Surprise, AZ 85374
Phone (623) 227-1924

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": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1821435249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8877 W UNION HILLS DR STE 350",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823026",
            "telephone_number": "623-428-0727",
            "fax_number": "623-738-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8877 W UNION HILLS DR BLDG C",
            "address_2": "SUITE B350",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823008",
            "telephone_number": "623-428-0727",
            "fax_number": "623-738-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWSNUP",
        "first_name": "SHANNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA8426",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CO",
            "license": "680",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA8426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "MORTENSEN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.