Individual provider Active NPI

Jennifer S. Ragusa, AU.D.

  • Audiologist
  • Peoria, IL
National Provider Identifier
1871878249
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.001409 Issued in IL
Practice address
8600 N State Route 91
Suite 300
Peoria, IL 61615-9541
Phone
(309) 691-6616
Fax
(309) 691-2943
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147.001409 IL Primary

Addresses

Primary practice location

8600 N State Route 91
Suite 300
Peoria, IL 61615-9541

Mailing address

1600 S. 4TH
Suite 120
Morton, IL 61550
Phone (309) 284-0164

Other names 1

  • Ms. Jennifer S. Schmidt Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111216000393 IL Practitioner - Qualified Audiologist 0345415519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Illinois Institute of Balance LLCGroup PAC ID 7618072497, 5 clinicians
Illinois State UniversityGroup PAC ID 5597088492, 10 clinicians

Practice addresses (Care Compare)

211 Landmark Dr
E3
Normal, IL 61761-6165
Phone (309) 663-4900

275 S University
211 Rachel Cooper BLDG
Normal, IL 61761-0001
Phone (309) 438-8641

Merit-based Incentive Payment System (MIPS)

Final score
88.21 of 100Reported as group
Quality
85
Improvement activities
40
Cost
80.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147.001409ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois State University CurrentSince Aug 22, 2016 Accepting new patients
Central Illinois Institute of Balance LLC Audiologist CurrentSince Jul 1, 2017 Accepting new patients

Locations

211 Landmark Dr
Ste E3
Normal, IL 61761
Phone (309) 454-7337

4720 Campus
Normal, IL 61790

211 Landmark Dr
Ste E
Normal, IL 61761
Phone (309) 663-4900

Organizations & group practices 2

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": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1871878249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S. 4TH",
            "address_2": "SUITE 120",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "61550",
            "telephone_number": "309-284-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 N STATE ROUTE 91",
            "address_2": "SUITE 300",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159541",
            "telephone_number": "309-691-6616",
            "fax_number": "309-691-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUSA",
        "first_name": "JENNIFER",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SCHMIDT",
            "middle_name": "S.",
            "prefix": "MS.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.