Individual provider Active NPI

Evelyn Jean Wiest-Kertz, M.S. CCC-A

  • Audiologist
  • Butler, PA
National Provider Identifier
1992973374
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT000515L Issued in PA
Practice address
208 Point PLZ
Butler, PA 16001-2552
Phone
(724) 283-3984
Fax
(724) 283-3796
NPI assigned
Feb 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT000515L PA Primary

Addresses

Primary practice location

208 Point PLZ
Butler, PA 16001-2552

Mailing address

208 Point PLZ
Butler, PA 16001-2552
Phone (724) 283-3984

Other identifiers 2

IdentifierTypeStateIssuer
0019466760001MedicaidPA
216037OtherHIGHMARK

Other names 1

  • Evelyn Jean McIntosh Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031218000342 PA Practitioner - Qualified Audiologist 8820995640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

208 Point PLZ
Butler, PA 16001-2569

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wiest Audiology and Professional Hearing Aid Service Inc Audiologist CurrentSince Jan 1, 2003 Accepting new patients

Locations

208 Point Plz
Butler, PA 16001
Phone (724) 283-3984

5830 Meridian Rd
Gibsonia, PA 15044
Phone (724) 443-0700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1992973374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 POINT PLZ",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012552",
            "telephone_number": "724-283-3984",
            "fax_number": "724-283-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 POINT PLZ",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012552",
            "telephone_number": "724-283-3984",
            "fax_number": "724-283-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEST-KERTZ",
        "first_name": "EVELYN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000515L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019466760001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "216037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "MCINTOSH",
            "middle_name": "JEAN",
            "credential": "M.S. CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.