ANNELIESE HARTMAN (AUD) – Audiologist, NPI 1548233067
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
401 QUALIFIED AUDIOLOGIST in IL
Provider Addresses for ANNELIESE HARTMAN (AUD)
8038 MACINTOSH LN
ROCKFORD, IL 611075336
Phone: (815) 332-6800
Fax: (815) 332-6810
Type: Location
West Exchange Street, Freeport, Stephenson County, Illinois, 61032, United States
PO BOX 268
FREEPORT, IL 610324030
Phone:
Type: Mailing
1036, West Stephenson Street, Freeport, Stephenson County, Illinois, 61032, United States
FREEPORT, IL 610324865
Phone: (815) 599-6000
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: 2004-01-20
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 |
|---|---|---|---|---|
| I20040120000391 | I | Qualified Audiologist | IL | 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 |
|---|---|---|---|---|
| 92567 | Test to assess middle ear function | 193 | 167 | $0 |
| 92557 | Comprehensive hearing and speech recognition test | 174 | 160 | $0 |
| 92587 | Placement of ear probe for computerized measurement of sound with interpretation and report | 12 | 11 | $0 |
| 92540 | Evaluation and testing for balance with recording | 11 | 11 | $0 |
Insurance plans in this area (ZIP 61107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OK | |
| - | IL | |
| - | IL | |
| O P T O M E T R Y | IL | |
| - | IL |
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