Individual provider Active NPI

Shannon Behnfeldt, AUD

  • Audiologist
  • Ypsilanti, MI
National Provider Identifier
1861176802
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601001121 Issued in MI
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

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Danny Kewson M.D. P.CGroup PAC ID 9436139425, 12 clinicians

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

OrganizationSpecialtyStatusNew patients
Michigan Otolaryngolgy Surgery CurrentSince Jun 10, 2023 Accepting new patients
Michigan Otolaryngology Surgery CurrentSince Jun 10, 2023 Accepting new patients
Danny Kewson M.D. P.C CurrentSince Jul 1, 2024 Accepting new patients
Danny Kewson M.D. P.C Audiologist PastSince Jul 1, 2024 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.

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.

Verify at the official NPI Registry.