Individual provider Active NPI

Jennifer Micacci, AU.D.

  • Audiologist
  • Wallingford, CT
National Provider Identifier
1982903308
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000346 Issued in CT
Practice address
850 N Main Street Ext Ste 1C
Wallingford, CT 06492-2487
Phone
(203) 741-9943
NPI assigned
Mar 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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 000346 CT
Audiologist 231H00000X 000346 CT Primary

Addresses

Primary practice location

850 N Main Street Ext Ste 1C
Wallingford, CT 06492-2487

Mailing address

850 N Main Street Ext Ste 1C
Wallingford, CT 06492-2487
Phone (203) 741-9943

Other practice location 1

140 Broad St
Milford, CT 06460-4728
Phone (203) 694-0243

Other practice location 2

149 Wakelee Ave
Ansonia, CT 06401-1176
Phone (203) 735-4327

Other practice location 3

190 Main St
East Haven, CT 06512-3042
Phone (203) 694-0242

Other practice location 4

415 Highland Avenue
Suite 2
Cheshire, CT 06410
Phone (203) 272-4512

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110511000820 CT Practitioner - Qualified Audiologist 2365628161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Life Hearing Center, LLCGroup PAC ID 7113269028, 5 clinicians

Practice addresses (Care Compare)

850 N Main St Ext
Suite 1C
Wallingford, CT 06492-2487
Phone (203) 741-9943

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000346CTMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Best Life Hearing Center, LLC Audiologist CurrentSince Feb 21, 2019 Accepting new patients
The Hearing Center, LLC Audiologist PastSince Feb 17, 2003 Accepting new patients

Locations

149 Wakelee Ave
Ansonia, CT 06401
Phone (203) 735-4327

415 Highland Ave
Ste 2
Cheshire, CT 06410
Phone (203) 272-4512

190 Main St
East Haven, CT 06512
Phone (203) 466-3823

140 Broad St
Milford, CT 06460
Phone (203) 694-0243

850 N Main Street Ext
Ste 1C
Wallingford, CT 06492
Phone (203) 269-0885

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1982903308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N MAIN STREET EXT STE 1C",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922487",
            "telephone_number": "203-741-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N MAIN STREET EXT STE 1C",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922487",
            "telephone_number": "203-741-9943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Broad St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064604728",
            "country_code": "US",
            "telephone_number": "203-694-0243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "149 Wakelee Ave",
            "address_purpose": "LOCATION",
            "city": "Ansonia",
            "state": "CT",
            "postal_code": "064011176",
            "country_code": "US",
            "telephone_number": "203-735-4327",
            "fax_number": "203-735-2539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Main St",
            "address_purpose": "LOCATION",
            "city": "East Haven",
            "state": "CT",
            "postal_code": "065123042",
            "country_code": "US",
            "telephone_number": "203-694-0242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Highland Avenue",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "06410",
            "country_code": "US",
            "telephone_number": "203-272-4512",
            "fax_number": "203-272-4517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICACCI",
        "first_name": "JENNIFER",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CT",
            "license": "000346",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.