CLAIRE KIPPENBROCK (AUD) – Audiologist, NPI 1730995127

CLAIRE KIPPENBROCK (AUD) is a healthcare provider. based in Carbondale, Illinois. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 2525 (KS). The NPI Number for CLAIRE KIPPENBROCK (AUD) is 1730995127

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
CLAIRE KIPPENBROCK (AUD)
NPI
1730995127
Phone
(619) 534-3288
Address
459 IRISH ROSE LN
Enumeration Date
10 December 2024
Last Update Date
3 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8165078885
Graduation Year
2025 (1 year ago)
PAC ID
9830601368
Group Practice PAC ID
0840575650
Professional Enrollment ID
I20251028000600
Address ID
MO640862501LE458XXHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:1State licenses:1Digital endpointsOther names

230 QUALIFIED AUDIOLOGIST in MO

Provider Addresses for CLAIRE KIPPENBROCK (AUD)

  • 459 IRISH ROSE LN

    CARBONDALE, IL 629015464

    Phone: (619) 534-3288

    Type: Mailing

  • 458 NE 291 HWY

    LEES SUMMIT, MO 640862501

    Phone: (816) 507-8885

    Fax: (816) 533-4344

    Type: Location

  • 8640 N Green Hills Rd Ste 43

    Kansas City, MO 641541903

    Phone: (816) 800-8020

    Fax: (816) 800-8029

    Type: Location

  • 6650 W 110th St Ste 330

    Overland Park, KS 662111798

    Phone: (913) 521-9090

    Fax: (913) 521-9955

    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: 2025-10-28

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
I20250620003249IQualified AudiologistKSTBD
I20251028000600IQualified AudiologistMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62901)

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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: 0840575650View full group profile
NameSpecialtyState
Qualified AudiologistMO
Qualified AudiologistMO
Qualified AudiologistKS
Qualified AudiologistKS
Qualified AudiologistMO
Physical Therapist In Private PracticeKS
Qualified AudiologistMO
Qualified AudiologistMO

Reviews

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Frequently asked questions

What is the standard ID for CLAIRE KIPPENBROCK (AUD) in the U.S.?
In the U.S., CLAIRE KIPPENBROCK (AUD) is identified by NPI 1730995127.
Does the public listing show CLAIRE KIPPENBROCK (AUD) as active?
CLAIRE KIPPENBROCK (AUD)'s NPI record reflects an active status in NPPES.
What does the directory say CLAIRE KIPPENBROCK (AUD) does?
Insurance directories may phrase it differently, but here CLAIRE KIPPENBROCK (AUD) maps to Audiologist. Clinical services aligned with this taxonomy classification.
Is CLAIRE KIPPENBROCK (AUD) tied to Carbondale, Illinois?
If you are local to Carbondale, Illinois, CLAIRE KIPPENBROCK (AUD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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