Individual provider Active NPI

Amy Lynne Wusterbarth, AU.D.

  • Audiologist
  • Santa Rosa Beach, FL
National Provider Identifier
1912914011
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1719 Issued in FL
Practice address
141 Mack Bayou Loop Ste 202
Santa Rosa Beach, FL 32459-7194
Phone
(850) 622-0996
Fax
(850) 622-1185
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1719 FL Primary

Addresses

Primary practice location

141 Mack Bayou Loop Ste 202
Santa Rosa Beach, FL 32459-7194

Mailing address

141 Mack Bayou Loop Ste 202
Santa Rosa Beach, FL 32459-7194
Phone (850) 622-0996

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250317000892 WI Practitioner - Qualified Audiologist 2860566809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Florida State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1305 Chestnut St
West Bend, WI 53095-3060
Phone (262) 338-3553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Hearing Care, LLC Audiologist CurrentSince Jun 1, 2025 Accepting new patients

Locations

1305 Chestnut St
West Bend, WI 53095
Phone (262) 335-4202

1305 Chestnut St
Ste 4
West Bend, WI 53095

Organizations & group practices 1

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1912914011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MACK BAYOU LOOP STE 202",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597194",
            "telephone_number": "850-622-0996",
            "fax_number": "850-622-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MACK BAYOU LOOP STE 202",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324597194",
            "telephone_number": "850-622-0996",
            "fax_number": "850-622-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUSTERBARTH",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.