KARI A WICKSTROM (AUD) – Audiologist, NPI 1104317221
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
263 QUALIFIED AUDIOLOGIST in GA
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Provider Addresses for KARI A WICKSTROM (AUD)
105, West Main Street, Cartersville, Bartow County, Georgia, 30120, United States
CARTERSVILLE, GA 30120
Phone: (770) 334-3062
Fax: (770) 334-8964
Type: Location
100 John Sutherland Dr Ste 4
Nicholasville, KY 403562424
Phone: (859) 885-0150
Fax: (859) 885-0175
Type: Location
116 MERIDIAN WAY STE 1
RICHMOND, KY 404752876
Phone: (859) 623-4458
Fax: (859) 623-4459
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: 2021-01-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210126002981 | I | Qualified Audiologist | KY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92557 | Comprehensive hearing and speech recognition test | 101 | 101 | $0 |
| 92567 | Test to assess middle ear function | 31 | 31 | $0 |
Insurance plans in this area (ZIP 30120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Qualified Audiologist | KY | |
| Qualified Audiologist | KY | |
| Qualified Audiologist | KY | |
| Qualified Audiologist | KY | |
| Qualified Audiologist | KY | |
| Qualified Audiologist | KY | |
| - | TX | |
| Qualified Audiologist | KY | |
| Qualified Audiologist | SC |
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