GRACE LAVINE (AUD) – Audiologist, NPI 1932095890

GRACE LAVINE (AUD) is a healthcare provider. based in Fort collins, Colorado. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. AUD.0001327 (CO). The NPI Number for GRACE LAVINE (AUD) is 1932095890

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
GRACE LAVINE (AUD)
NPI
1932095890
Phone
(970) 221-5011
Address
2026 Caribou Dr Unit 102
Enumeration Date
17 June 2025
Last Update Date
17 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3037768748
Graduation Year
2025 (1 year ago)
PAC ID
8224543897
Group Practice PAC ID
7618031980
Professional Enrollment ID
I20250714000899
Address ID
CO805012868LO1515XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

251 QUALIFIED AUDIOLOGIST in CO

Provider Addresses for GRACE LAVINE (AUD)

  • 2026 Caribou Dr Unit 102

    Fort Collins, CO 805254327

    Phone: (970) 221-5011

    Fax: (970) 221-0572

    Type: Location

  • 1315 VIVIAN ST

    LONGMONT, CO 805013216

    Phone: (303) 776-8748

    Fax: (303) 684-9915

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250714000899IQualified AudiologistCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80525)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618031980View full group profile
NameSpecialtyState
Qualified AudiologistCO
Qualified AudiologistCO
Qualified AudiologistCO
Qualified AudiologistCO
-CO
-CO
Qualified AudiologistKS
Qualified AudiologistCO

Reviews

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Frequently asked questions

What NPI should I save for GRACE LAVINE (AUD)?
Save NPI 1932095890 if you need a stable reference for GRACE LAVINE (AUD).
Is GRACE LAVINE (AUD) active in the national directory?
GRACE LAVINE (AUD)'s public NPI profile is in an active state.
What kind of provider is GRACE LAVINE (AUD)?
The page reflects Audiologist for GRACE LAVINE (AUD). Clinical services aligned with this taxonomy classification.
Does GRACE LAVINE (AUD) practice in Colorado?
You will see Fort Collins, Colorado on file for GRACE LAVINE (AUD) alongside any extra practice locations.
What if Fort Collins, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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DR. DANIEL E. KNUDSEN (AU.D.)

Audiologist-Hearing Aid Fitter
313 W Drake Rd
NPI: 1386650216