JAN S GLICK (CCC-A) – Audiologist, NPI 1336189893

JAN S GLICK (CCC-A) is a healthcare provider. based in Jupiter, Florida. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials CCC-A. They hold a License No. 1601000072 (MI). The NPI Number for JAN S GLICK (CCC-A) is 1336189893

Main info

Female
48 Years Of Experience
Accepts Medicare Assignment
Name
JAN S GLICK (CCC-A)
NPI
1336189893
Phone
(561) 781-7811
Address
6380 W Indiantown Rd Ste 14
Enumeration Date
6 June 2006
Last Update Date
31 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5617366002
Graduation Year
1978 (48 years ago)
PAC ID
4789585126
Group Practice PAC ID
6103891403
Professional Enrollment ID
I20210712000673
Address ID
FL334376161BO7593XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

519 QUALIFIED AUDIOLOGIST in FL

Provider Addresses for JAN S GLICK (CCC-A)

  • 6380 W Indiantown Rd Ste 14

    Jupiter, FL 334587979

    Phone: (561) 781-7811

    Type: Location

  • 140, Plantation Pointe Lane, Mooresville, Iredell County, North Carolina, 28117, United States

    MOORESVILLE, NC 281179175

    Phone: (704) 230-0007

    Type: Mailing

  • My Hearing Center, 514, East Woolbright Road, Boynton Beach, Palm Beach County, Florida, 33435, United States

    BOYNTON BEACH, FL 334356033

    Phone: (561) 434-9944

    Type: Location

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: 2021-07-12

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
I20210712000673IQualified 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92557Comprehensive hearing and speech recognition test4747$0
92550Test for eardrum and muscle function4646$0
92571Test to assess by hearing by examining the repetition of real words versus nonsense words3535$0
92588Placement of ear probe for computerized measurement of repeated sounds with interpretation and report3030$0
View full utilization report →

Insurance plans in this area (ZIP 33458)

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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: 6103891403View full group profile
NameSpecialtyState
Qualified AudiologistFL
-FL
Qualified AudiologistFL
Qualified AudiologistFL
Qualified AudiologistFL
Qualified AudiologistFL

Reviews

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Frequently asked questions

Where can patients find JAN S GLICK (CCC-A)'s NPI?
You can confirm JAN S GLICK (CCC-A) with NPI 1336189893; it appears in the national provider directory.
Is JAN S GLICK (CCC-A)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JAN S GLICK (CCC-A) list a primary specialty?
If you are matching referrals, note Audiologist for JAN S GLICK (CCC-A). Clinical services aligned with this taxonomy classification.
What location metadata exists for JAN S GLICK (CCC-A)?
The page summarizes Jupiter, Florida for JAN S GLICK (CCC-A); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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