Susan Mermelstein, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

78 Issued in AK

Practice address

3801 University Lake Dr Ste 220
Anmc Audiology Department
Anchorage, AK 99508-4658

Phone

(907) 729-8508

Fax

(907) 729-1474

NPI assigned

Mar 19, 2007

Last updated

Apr 28, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kodiak Area Native AssociationGroup PAC ID 8426959297, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smermelstein@direct.scf.cc

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kodiak Area Native Association

  • Community Health Clinic/Center
  • Kodiak, AK
  • NPI 1679514236

  TX

  Medicare reassignment Care Compare group
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Aleknagik North, AK
  • NPI 1235291246

  TX

  Medicare reassignment NPD
• Maniilaq Association

  dba Maniilaq Health Center

  • Rural Acute Care Hospital
  • Kotzebue, AK
  • NPI 1861698805

  TX

  Medicare reassignment NPD
• Southcentral Foundation

  dba BSD - McGrath

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • McGrath, AK
  • NPI 1780614263

  TX

  Medicare reassignment NPD
• Southeast Alaska Regional Health Consortium

  dba Thorne Bay Health Clinic

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037

  TX

  Medicare reassignment NPD
• Tanana Chiefs Conference

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1821201278

  TX

  Medicare reassignment NPD
• Bristol Bay Area Health Corporation

  dba Bristol Bay Area Health Corporation Vision Group

  • Optometrist
  • Dillingham, AK
  • NPI 1154551588
  NPD
• Bristol Bay Area Health Corporation

  • Medicare Defined Swing Bed Hospital Unit
  • Dillingham, AK
  • NPI 1770645202
  NPD
• Maniilaq Association

  dba Maniilaq Health Center

  • Critical Access Hospital
  • Kotzebue, AK
  • NPI 1316995210
  NPD
• Maniilaq Association

  dba Tigautchiaq Amainiq Health Clinic

  • Federal Public Health Clinic/Center
  • Buckland, AK
  • NPI 1639446347
  NPD
• Southcentral Foundation

  dba Tribal/HPG- Benteh Nuutah Primary Care Center (BNPCC)

  • Multi-Specialty Clinic/Center
  • Wasilla, AK
  • NPI 1386680056
  NPD

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1841315124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY LAKE DRIVE, SUITE 220",
            "address_2": "ANMC AUDIOLOGY DEPARTMENT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085926",
            "telephone_number": "907-729-8508",
            "fax_number": "907-729-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY LAKE DR STE 220",
            "address_2": "ANMC AUDIOLOGY DEPARTMENT",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084658",
            "telephone_number": "907-729-8508",
            "fax_number": "907-729-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERMELSTEIN",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AK",
            "license": "78",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000400",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU1178",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Merica-Nazuruk, RN
• Timmy Joe Merideth
• Colleen Meridon
• Robert Merkouris, MD
• Adam Merli Jr., D.D.S.
• Melissa Kay Merrick, LCSW
• Elizabeth Ann Merrill-Bauer, MFTA
• Julie Merrill, PT
• Lilian Dacanay Merrill
• Meryl Dawn Villarta Merrill

• Audiologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Audiologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.