MRS. HOLLY J DEMICHELIS (MA) – Audiologist-Hearing Aid Fitter, NPI 1013988427

MRS. HOLLY J DEMICHELIS (MA) is a healthcare provider. based in Peoria, Illinois. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials MA. The NPI Number for MRS. HOLLY J DEMICHELIS (MA) is 1013988427

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MRS. HOLLY J DEMICHELIS (MA)
NPI
1013988427
Phone
(309) 589-5900
Address
7301 N KNOXVILLE AVE
Enumeration Date
1 February 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3095895900
Graduation Year
1995 (31 years ago)
PAC ID
3072707306
Group Practice PAC ID
9234179870
Professional Enrollment ID
I20101101000956
Address ID
IL616142017PE7301XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

401 QUALIFIED AUDIOLOGIST in IL

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Provider Addresses for MRS. HOLLY J DEMICHELIS (MA)

  • North Knoxville Avenue, Keller, Peoria, Peoria County, Illinois, 61615, United States

    PEORIA, IL 616142017

    Phone: (309) 589-5900

    Fax: (309) 683-4120

    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: 2010-11-01

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
I20101101000956IQualified AudiologistILTBD

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 test169166$0
92567Test to assess middle ear function9291$0
View full utilization report →

Insurance plans in this area (ZIP 61614)

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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: 9234179870View full group profile
NameSpecialtyState
Qualified AudiologistIL
Qualified AudiologistIL
-IL
-IL
Nurse PractitionerIL
Qualified AudiologistIL
O T O L A R Y N G O L O G YIL
-IL
Physical Therapist In Private PracticeIL
O T O L A R Y N G O L O G YIL

Reviews

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Frequently asked questions

Does MRS. HOLLY J DEMICHELIS (MA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. HOLLY J DEMICHELIS (MA) uses 1013988427.
Is MRS. HOLLY J DEMICHELIS (MA) still practicing?
MRS. HOLLY J DEMICHELIS (MA) is currently listed as active in the public NPI registry.
What healthcare role does MRS. HOLLY J DEMICHELIS (MA) hold?
Scheduling teams often label MRS. HOLLY J DEMICHELIS (MA) under Audiologist-Hearing Aid Fitter. Clinical services aligned with this taxonomy classification.
Does MRS. HOLLY J DEMICHELIS (MA) list a practice location?
Patients near Peoria, Illinois may find MRS. HOLLY J DEMICHELIS (MA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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