Active NPI
Shannon Behnfeldt, AUD
- Audiologist
- Ypsilanti, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601001121
- Practice address
- 5333 McAuley Dr RM 2017
Ypsilanti, MI 48197-1096 - Phone
- (734) 434-3200
- Fax
- (734) 879-0550
- NPI assigned
- Jun 12, 2023
- 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 | 1601001121 | MI | Primary |
Addresses
Primary practice location
5333 McAuley Dr RM 2017
Ypsilanti, MI 48197-1096
Mailing address
5333 McAuley Dr RM 2017
Ypsilanti, MI 48197-1096
Phone (734) 434-3200
Other names 1
- Shannon Seraphinoff
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230713002614 | MI | Practitioner - Qualified Audiologist | 7911367685 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2454 Monroe St
Suite a
Dearborn, MI 48124-3038
Phone (313) 562-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Otolaryngolgy Surgery | Current | Accepting new patients | |
| Michigan Otolaryngology Surgery | Current | Accepting new patients | |
| Danny Kewson M.D. P.C | Current | Accepting new patients | |
| Danny Kewson M.D. P.C | Audiologist | Past | Accepting new patients |
Locations
6850 N Haggerty Rd
Canton, MI 48187
Phone (734) 386-8000
2454 Monroe St
Ste A
Dearborn, MI 48124
Phone (313) 562-4100
5333 McAuley Dr
Rm 2017
Ypsilanti, MI 48197
Phone (734) 434-3200
Organizations & group practices 4
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Dearborn, MI
- NPI 1336362722
MI
-
- Audiologist-Hearing Aid Fitter
- Ypsilanti, MI
- NPI 1760572978
-
- Audiologist
- Dearborn, MI
- NPI 1982196325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1861176802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR RM 2017",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971096",
"telephone_number": "734-434-3200",
"fax_number": "734-879-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR RM 2017",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971096",
"telephone_number": "734-434-3200",
"fax_number": "734-879-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHNFELDT",
"first_name": "SHANNON",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-12",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601001121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHANNON",
"last_name": "SERAPHINOFF",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.