TAMARRA A FRIEDRICHSEN (AU.D.) – Hearing Instrument Specialist, NPI 1720399777

TAMARRA A FRIEDRICHSEN (AU.D.) is a healthcare provider. based in Moline, Illinois. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 001004 (IA). The NPI Number for TAMARRA A FRIEDRICHSEN (AU.D.) is 1720399777

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
TAMARRA A FRIEDRICHSEN (AU.D.)
NPI
1720399777
Phone
(309) 762-6467
Address
1601 52ND AVE
Enumeration Date
24 June 2010
Last Update Date
15 July 2013

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
3097626467
Graduation Year
2011 (15 years ago)
PAC ID
7416128038
Group Practice PAC ID
2466719950
Professional Enrollment ID
I20111017000115
Address ID
IL612656707MO4900XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

401 QUALIFIED AUDIOLOGIST in IL

Provider Addresses for TAMARRA A FRIEDRICHSEN (AU.D.)

  • 1601 52ND AVE

    SUITE 6

    MOLINE, IL 612656389

    Phone: (309) 762-6467

    Fax: (309) 762-7218

    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: 2011-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110912000374IQualified AudiologistIATBD
I20111017000115IQualified 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
92567Test to assess middle ear function5050$0
92557Comprehensive hearing and speech recognition test4949$0
View full utilization report →

Insurance plans in this area (ZIP 61265)

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Provider's Procedures

TAMARRA A FRIEDRICHSEN (AU.D.) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTIL92567Eardrum testing using ear probe5853

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: 2466719950View full group profile
NameSpecialtyState
Qualified AudiologistIA
Qualified AudiologistIL
Qualified AudiologistIA

Reviews

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Frequently asked questions

Is TAMARRA A FRIEDRICHSEN (AU.D.) listed with a National Provider Identifier?
Yes — TAMARRA A FRIEDRICHSEN (AU.D.) has NPI 1720399777 on file in the registry.
Is there an active status for TAMARRA A FRIEDRICHSEN (AU.D.)?
For scheduling context, TAMARRA A FRIEDRICHSEN (AU.D.) is shown as active in the registry.
What clinical focus is listed for TAMARRA A FRIEDRICHSEN (AU.D.)?
At a glance, TAMARRA A FRIEDRICHSEN (AU.D.) is tied to Hearing Instrument Specialist. Clinical services aligned with this taxonomy classification.
Is TAMARRA A FRIEDRICHSEN (AU.D.) associated with Moline?
Public fields place TAMARRA A FRIEDRICHSEN (AU.D.) around Moline, Illinois. Always confirm the exact site before visiting.
Does TAMARRA A FRIEDRICHSEN (AU.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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