Individual provider Active NPI

Michelle Cramer, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Alton, IL
National Provider Identifier
1871978015
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
147.001335 Issued in IL
Practice address
1417 Washington Ave Ste 2
Alton, IL 62002-3970
Phone
(618) 462-7900
Fax
(618) 462-0179
NPI assigned
Jul 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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 147.001335 IL Primary

Addresses

Primary practice location

1417 Washington Ave Ste 2
Alton, IL 62002-3970

Mailing address

1417 Washington Ave Ste 2
Alton, IL 62002-3970

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151006002403 IL Practitioner - Qualified Audiologist 3678881943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Hearing Associates LLCGroup PAC ID 5890057319, 2 clinicians

Practice addresses (Care Compare)

1344 Dadrian Professional Park
Godfrey, IL 62035-1685
Phone (618) 466-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147.001335ILMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Hearing Associates LLC CurrentSince Jan 11, 2020 Accepting new patients
Sound Advice Hearing Doctors LLC PastSince Sep 1, 2015 Accepting new patients

Locations

1344 Dadrian Professional Park
Godfrey, IL 62035
Phone (618) 466-4444

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": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1871978015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 WASHINGTON AVE STE 2",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620023970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 WASHINGTON AVE STE 2",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620023970",
            "telephone_number": "618-462-7900",
            "fax_number": "618-462-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147.001335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.