DR. KIRSTEN THOMAS ATWOOD (AU.D, ,CCC-A) – Audiologist, NPI 1104098052

DR. KIRSTEN THOMAS ATWOOD (AU.D, ,CCC-A) is a healthcare provider. based in Fort pierce, Florida. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D, ,CCC-A. They hold a License No. AY1177 (FL). The NPI Number for DR. KIRSTEN THOMAS ATWOOD (AU.D, ,CCC-A) is 1104098052

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIRSTEN THOMAS ATWOOD (AU.D, ,CCC-A)
NPI
1104098052
Phone
(772) 464-9595
Address
4632 S 25TH ST
Enumeration Date
1 April 2008
Last Update Date
9 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7728881880
Graduation Year
2003 (23 years ago)
PAC ID
0446314652
Group Practice PAC ID
1254680481
Professional Enrollment ID
I20090203000660
Address ID
FL349941020ST1400XHWYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

519 QUALIFIED AUDIOLOGIST in FL

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Provider Addresses for DR. KIRSTEN THOMAS ATWOOD (AU.D, ,CCC-A)

  • 4632, South 25th Street, Fort Pierce, St. Lucie County, Florida, 34981, United States

    FORT PIERCE, FL 349815057

    Phone: (772) 464-9595

    Fax: (772) 464-9582

    Mailing address matches the actual address.

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: 2009-02-03

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
I20090203000660IQualified AudiologistFLTBD

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 34981)

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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: 1254680481View full group profile
NameSpecialtyState
Physician AssistantFL
O T O L A R Y N G O L O G YFL
Qualified AudiologistFL
Qualified AudiologistGA
Physician AssistantFL
-FL
Nurse PractitionerFL
O T O L A R Y N G O L O G YFL

Reviews

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Frequently asked questions

Is DR. KIRSTEN THOMAS ATWOOD (AU.D, ,CCC-A) listed with a National Provider Identifier?
Yes — DR. KIRSTEN THOMAS ATWOOD (AU.D, ,CCC-A) has NPI 1104098052 on file in the registry.
Active or inactive — what applies to DR. KIRSTEN THOMAS ATWOOD (AU.D, ,CCC-A)?
You should see DR. KIRSTEN THOMAS ATWOOD (AU.D, ,CCC-A) as active in CMS-hosted NPPES data.
What kind of doctor is DR. KIRSTEN THOMAS ATWOOD (AU.D, ,CCC-A)?
DR. KIRSTEN THOMAS ATWOOD (AU.D, ,CCC-A) is associated with Audiologist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. KIRSTEN THOMAS ATWOOD (AU.D, ,CCC-A) associated with Fort Pierce?
Public fields place DR. KIRSTEN THOMAS ATWOOD (AU.D, ,CCC-A) around Fort Pierce, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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