Active NPI
Mikayla Nicole Van Vuuren, AU.D.
- Audiologist
- Fergus Falls, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 10480
- Practice address
- 111 W Vernon Ave
Fergus Falls, MN 56537-2741 - Phone
- (218) 739-8000
- NPI assigned
- Jan 9, 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 | 10480 | MN | Primary |
Addresses
Primary practice location
111 W Vernon Ave
Fergus Falls, MN 56537-2741
Mailing address
712 S Cascade St
Fergus Falls, MN 56537-2913
Phone (218) 736-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
712 S Cascade St
Fergus Falls, MN 56537-2913
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.64 of 100
- Quality
- 86.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| Lake Region Healthcare Corporation | Current | Accepting new patients | |
| West Central Internal Medicine | Past | Accepting new patients |
Locations
1411 Highway 79 E
Elbow Lake, MN 56531
Phone (218) 685-7300
649 State St NW
Evansville, MN 56326
Phone (218) 948-2040
111 W Vernon Ave
Fergus Falls, MN 56537
Phone (218) 736-5770
712 S Cascade St
Fergus Falls, MN 56537
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
Organizations & group practices 6
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.
-
dba Lake Region Healthcare
- Critical Access Hospital
- Elbow Lake, MN
- NPI 1407838329
-
- General Acute Care Hospital
- Fergus Falls, MN
- NPI 1093713372
-
- Chiropractor
- Fergus Falls, MN
- NPI 1265148480
-
dba Lake Region Healthcare
- Critical Access Hospital
- Fergus Falls, MN
- NPI 1285525436
-
dba Lake Region Healthcare
- Durable Medical Equipment & Medical Supplies
- Fergus Falls, MN
- NPI 1942191119
-
dba Prairie Medical Associates
- Clinic/Center
- Morris, MN
- NPI 1750481958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1871207373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 S CASCADE ST",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372913",
"telephone_number": "218-736-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W VERNON AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372741",
"telephone_number": "218-739-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN VUUREN",
"first_name": "MIKAYLA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "10480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.