Individual provider Active NPI

Keryn Elisabeth Maionchi, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Colorado Springs, CO
National Provider Identifier
1861664096
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
584 Issued in CO
Practice address
3030 N Circle Dr
Ste 300
Colorado Springs, CO 80909-1177
Phone
(719) 867-7800
Fax
(719) 867-7899
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 584 CO Primary

Addresses

Primary practice location

3030 N Circle Dr
Ste 300
Colorado Springs, CO 80909-1177

Mailing address

PO Box 9190
Colorado Springs, CO 80932-0190
Phone (719) 867-7800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000371 CO Practitioner - Qualified Audiologist 8123107059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Otolaryngology Associates, LLCGroup PAC ID 1557253705, 21 clinicians

Practice addresses (Care Compare)

3030 N Circle Dr
Suite 300
Colorado Springs, CO 80909-1180
Phone (719) 867-7800

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100Reported as group
Quality
80.65
Promoting interoperability
100
Improvement activities
40
Cost
62.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
584COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Ear, Nose and Throat Specialists, Inc. Past Accepting new patients

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1861664096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9190",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809320190",
            "telephone_number": "719-867-7800",
            "fax_number": "719-867-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N CIRCLE DR",
            "address_2": "STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091177",
            "telephone_number": "719-867-7800",
            "fax_number": "719-867-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIONCHI",
        "first_name": "KERYN",
        "middle_name": "ELISABETH",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CO",
            "license": "584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.