MRS. AMANDA DIEDERICH (AUDIOLOGIST) – Assistive Technology Practitioner Audiologist, NPI 1548442049
Assistive Technology Practitioner Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
401 QUALIFIED AUDIOLOGIST in IL
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Provider Addresses for MRS. AMANDA DIEDERICH (AUDIOLOGIST)
2201, Glenwood Avenue, Joliet, Will County, Illinois, 60435, United States
JOLIET, IL 604355574
Phone: (815) 725-1191
Fax: (815) 725-1248
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.
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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: 2012-02-09
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 |
|---|---|---|---|---|
| I20120209000632 | 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 |
|---|---|---|---|---|
| 92557 | Comprehensive hearing and speech recognition test | 131 | 130 | $0 |
| 92567 | Test to assess middle ear function | 80 | 79 | $0 |
Insurance plans in this area (ZIP 60435)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | IL | |
| O T O L A R Y N G O L O G Y | IL | |
| O T O L A R Y N G O L O G Y | IL | |
| Qualified Audiologist | IL | |
| O T O L A R Y N G O L O G Y | IL | |
| Qualified Audiologist | IL | |
| Qualified Audiologist | OR | |
| Qualified Audiologist | IL | |
| O T O L A R Y N G O L O G Y | IL | |
| Qualified Audiologist | IL |
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