Individual provider Active NPI

Madelynn Jane Petrancuri, AUD

  • Audiologist
  • Lansdale, PA
National Provider Identifier
1952973646
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT006740 Issued in PA
Practice address
100 W Main St Ste 105
Lansdale, PA 19446-2023
Phone
(215) 855-4217
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT006740 PA Primary

Addresses

Primary practice location

100 W Main St Ste 105
Lansdale, PA 19446-2023

Mailing address

1316 Moyer Rd Apt 5
Lansdale, PA 19446-1863
Phone (610) 405-6324

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210818002980 PA Practitioner - Qualified Audiologist 3678978392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rise Audiology, LLCGroup PAC ID 9739598137, 14 clinicians

Practice addresses (Care Compare)

100 W Main St
Suite 105
Lansdale, PA 19446-2023
Phone (215) 855-4217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT006740PAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Audiology, LLC CurrentSince Aug 2, 2021 Accepting new patients
Rise Audiology, LLC Audiologist CurrentSince Aug 2, 2021 Accepting new patients

Locations

100 W Main St
Ste 105
Lansdale, PA 19446
Phone (215) 855-4217

65 W Street Rd
Ste B104
Warminster, PA 18974
Phone (215) 672-4327

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1952973646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 MOYER RD APT 5",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461863",
            "telephone_number": "610-405-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MAIN ST STE 105",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462023",
            "telephone_number": "215-855-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRANCURI",
        "first_name": "MADELYNN",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT006740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.