Individual provider Active NPI

Kristen Panks, AUD, CCC-A

  • Audiologist
  • Grand Junction, CO
National Provider Identifier
1902073695
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD.0001254 Issued in CO
Practice address
631 24 1/2 Rd Ste G
Grand Junction, CO 81505-1371
Phone
(970) 985-4008
Fax
(970) 985-4037
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AUD.0001254 CO
Audiologist 231H00000X AUD.0001254 CO Primary

Addresses

Primary practice location

631 24 1/2 Rd Ste G
Grand Junction, CO 81505-1371

Mailing address

631 24 1/2 Rd Ste G
Grand Junction, CO 81505-1371
Phone (970) 985-4008

Other practice location 1

2373 G Rd Ste 240
Grand Junction, CO 81505-1006
Phone (970) 985-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201014001643 AL Practitioner - Qualified Audiologist 5294893053 Reassigns benefits to 1 organization
I20250516000090 CO Practitioner - Qualified Audiologist 5294893053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Desert Hearing CenterGroup PAC ID 7911385588, 5 clinicians

Practice addresses (Care Compare)

631 24
Suite G
Grand Junction, CO 81505-1371
Phone (970) 985-4008

Merit-based Incentive Payment System (MIPS)

Final score
83.9 of 100Reported as group
Quality
81.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AUD.0001254COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Hearing Center Audiologist CurrentSince Jun 5, 2025 Accepting new patients
North Alabama ENT Associates CurrentSince Aug 12, 2020 Accepting new patients
North Alabama ENT Associates, P.C. Past Accepting new patients

Locations

1963 Memorial Pkwy SW
Ste 5
Huntsville, AL 35801
Phone (256) 265-2464

927 Franklin St SE
Ste 100
Huntsville, AL 35801
Phone (256) 535-9038

631 24 12 Rd
Ste G
Grand JCT, CO 81505
Phone (970) 985-4008

631 24 12 Rd Ste G
Ste G
Grand Junction, CO 81505
Phone (970) 985-4008

2373 G Rd
Ste 240
Grand Junction, CO 81505
Phone (970) 243-7908

631 24 12 Rd
Ste G
Grand Junction, CO 81505
Phone (970) 985-4008

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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1902073695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 24 1/2 RD STE G",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051371",
            "telephone_number": "970-985-4008",
            "fax_number": "970-985-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 24 1/2 RD STE G",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051371",
            "telephone_number": "970-985-4008",
            "fax_number": "970-985-4037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2373 G Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815051006",
            "country_code": "US",
            "telephone_number": "970-985-4008",
            "fax_number": "970-985-4037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANKS",
        "first_name": "KRISTEN",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CO",
            "license": "AUD.0001254",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0001254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.