Active NPI
Amanda N Crishon, AUD
- Audiologist
- Avon, IN
National Provider Identifier
1831405422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 23002480A
- Practice address
- 1115 Ronald Reagan Pkwy
Ste 225
Avon, IN 46123-6910 - Phone
- (317) 844-7059
- Fax
- (317) 819-0044
- NPI assigned
- Aug 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 23002480A | IN | Primary |
Addresses
Primary practice location
1115 Ronald Reagan Pkwy
Ste 225
Avon, IN 46123-6910
Mailing address
1115 Ronald Reagan Pkwy
Ste 225
Avon, IN 46123-6910
Phone (317) 844-7059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101029000815 | IN | Practitioner - Qualified Audiologist | 7810181211 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dynamic Equilibrium IncMidwest Ear Institute, P.C.
Practice addresses (Care Compare)
7440 N Shadeland Ave
Suite 130
Indianapolis, IN 46250-2027
Phone (317) 577-7333
7440 N Shadeland Ave
Suite 150
Indianapolis, IN 46250-2095
Phone (317) 842-4901
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.91 of 100
- Quality
- 68.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23002480A | IN | MD | Audiologist |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1831405422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 RONALD REAGAN PKWY",
"address_2": "STE 225",
"city": "AVON",
"state": "IN",
"postal_code": "461236910",
"telephone_number": "317-844-7059",
"fax_number": "317-819-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 RONALD REAGAN PKWY",
"address_2": "STE 225",
"city": "AVON",
"state": "IN",
"postal_code": "461236910",
"telephone_number": "317-844-7059",
"fax_number": "317-819-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISHON",
"first_name": "AMANDA",
"middle_name": "N",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IN",
"license": "23002480A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.