Heartland Hearing Professionals PLLC
Organization Active NPI Assistive Technology Practitioner Audiologist · West Fargo, ND
NPI 1922542919 · NPPES record last updated Apr 11, 2026
Key facts
- NPI
- 1922542919
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assistive Technology Practitioner Audiologist 231HA2400X
- License
- 989 (ND)
- Legal business name
- HEARTLAND HEARING PROFESSIONALS PLLC
- Practice address
- 3139 Blue Stem Dr Ste 108
West Fargo, ND 58078-8060 - Phone
- (701) 639-4595
- NPI assigned
- Dec 8, 2016
- Organization subpart
- No
Authorized official
- Name
- Rose Brakke, AUD
- Title
- Audiologist
- Phone
- (701) 430-1017
Practitioners 8
-
Rose I Brakke, AUD
-
Kelcey J Cushman, AU.D., CCC-A
-
Megan Jo Thorson, AUD
-
Haley Alison Colby, M.S., CF-SLP
-
Katelyn Frappier, MOT OTR/L
-
Tessa Nicole Hagen, MOT, OTR/L
-
Madelynne Sager, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170309001509 | ND | Part B Supplier - Clinic/Group Practice | 2961786041 |
Receives reassigned benefits from 2 practitioners Practice locations: Grand Forks, ND; West Fargo, ND |
National Provider Directory
Locations
4680 S Washington St
Ste D
Grand Forks, ND 58201
Phone (701) 251-4014
3139 Bluestem Dr
Ste 108
West Fargo, ND 58078
Phone (701) 639-4595
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist |
231HA2400X | 989 | ND | Yes |
Addresses
Primary practice location
3139 Blue Stem Dr Ste 108
West Fargo, ND 58078-8060
Mailing address
3139 Bluestem Dr Ste 108
West Fargo, ND 58078-8060
Phone (701) 639-4595
Other practice location 1
4680 S Washington St Ste D
Grand Forks, ND 58201-7222
Phone (701) 251-4014
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023297348 | Medicaid | MN | |
| 1458557 | Medicaid | ND |
Other providers in West Fargo, ND
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- Healing Foundations Counseling PC
- Healingtouch Chiropractic, P.C.
- Health Center Pharmacy LTD
- Heart of Behavior, LLC
- Jodi L Hedstrom
- Kayla Heger
- Holly J Hegstad
- Jeremy Michael Heidt
- Stephanie Lee Hendricks
All providers in West Fargo, ND · Assistive Technology Practitioner Audiologist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.