Kevin Amdahl, MA

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

6055 Issued in MN

Practice address

2848 2ND St S Ste 185
Saint Cloud, MN 56301-3708

Phone

(320) 252-0094

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

Enrollment records 2

Specialty

Qualified Audiologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jka5 EnterprisesGroup PAC ID 3779800586, 3 clinicians

Jka5 Hudson IncGroup PAC ID 1850661075, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Jka5 Hudson Inc

  • Audiologist
  • Hudson, WI
  • NPI 1417484239
  Medicare reassignment Care Compare group Authorized official
• Jka5 Maple Grove Inc

  • Audiologist
  • Maple Grove, MN
  • NPI 1861945453
  Medicare reassignment Authorized official
• Amdahl Hearing LLC

  • Audiologist-Hearing Aid Fitter
  • Saint Cloud, MN
  • NPI 1821168568
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1972624286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 2ND STREET SOUTH",
            "address_2": "185",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014810",
            "telephone_number": "320-252-0094",
            "fax_number": "320-252-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 2ND ST S STE 185",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013708",
            "telephone_number": "320-252-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7270 Forestview Ln N Ste 160",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553695698",
            "country_code": "US",
            "telephone_number": "763-432-3386",
            "fax_number": "320-252-0365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMDAHL",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "748-156",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MN",
            "license": "6055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portia A. Amankona
• Blessing Amatu
• Palistha Amatya, MD
• Rachel Jeannine Amberson, MT-BC
• Amdahl Hearing LLC
• John Amegashie
• America'S Best Contacts and Eyeglasses, Inc.
• Americare Medical Supply
• Cassandra A. Amiot, PHYSICIAN ASSISTANT
• Jamelle Amouri, M.D.

• Audiologist-Hearing Aid Fitter in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Audiologist-Hearing Aid Fitter in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.