Individual provider Active NPI

Jessica J Messersmith, PH.D., CCC-A

  • Audiologist
  • Vermillion, SD
National Provider Identifier
1992038863
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
267A Issued in SD
Practice address
414 E Clark St
Vermillion, SD 57069-2307
Phone
(605) 677-5772
NPI assigned
Sep 10, 2009
Last updated
Sep 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 267A SD Primary
Assistive Technology Practitioner Audiologist 231HA2400X 267A SD
Assistive Technology Supplier Audiologist 231HA2500X 267A SD
Audiologist-Hearing Aid Fitter 237600000X 267A SD

Addresses

Primary practice location

414 E Clark St
Vermillion, SD 57069-2307

Mailing address

414 E Clark St
Vermillion, SD 57069-2307
Phone (605) 677-5772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110616000674 SD Practitioner - Qualified Audiologist 8224216437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of South DakotaGroup PAC ID 9032007679, 7 clinicians

Practice addresses (Care Compare)

3515 Broadway Ave
Yankton, SD 57078-4917
Phone (605) 668-3107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
267ASDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of South Dakota Current Accepting new patients

Locations

500 E Capitol Ave
#212
Pierre, SD 57501

3515 Broadway Ave
Yankton, SD 57078
Phone (605) 668-3100

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, 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": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1992038863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E CLARK ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692307",
            "telephone_number": "605-677-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E CLARK ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692307",
            "telephone_number": "605-677-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSERSMITH",
        "first_name": "JESSICA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SD",
            "license": "267A",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "SD",
            "license": "267A",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "SD",
            "license": "267A",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "SD",
            "license": "267A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermillion, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.