MRS. ANN MARIE SMITH (DOCTOR OF AUDIOLOGY) – Audiologist, NPI 1952389975

MRS. ANN MARIE SMITH (DOCTOR OF AUDIOLOGY) is a healthcare provider. based in Pekin, Illinois. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials DOCTOR OF AUDIOLOGY. They hold a License No. 00354 (IA). The NPI Number for MRS. ANN MARIE SMITH (DOCTOR OF AUDIOLOGY) is 1952389975

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANN MARIE SMITH (DOCTOR OF AUDIOLOGY)
NPI
1952389975
Phone
(309) 347-0500
Address
117 N PARKWAY DR
Enumeration Date
9 January 2006
Last Update Date
2 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3197522725
Graduation Year
2004 (22 years ago)
PAC ID
9739342502
Group Practice PAC ID
8527950237
Professional Enrollment ID
I20120516000031
Address ID
IA526551687WE1225XAVEX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

401 QUALIFIED AUDIOLOGIST in IL

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Provider Addresses for MRS. ANN MARIE SMITH (DOCTOR OF AUDIOLOGY)

  • 117, North Parkway Drive, Pekin, Tazewell County, Illinois, 61554, United States

    PEKIN, IL 615543932

    Phone: (309) 347-0500

    Fax: (309) 347-0501

    Type: Mailing

  • 117 N Parkway Dr

    Pekin, IL 615543932

    Phone: (309) 347-0500

    Fax: (309) 347-0501

    Type: Location

  • 611 W. PARK ST.

    FAPC

    URBANA, IL 61801

    Phone:

    Type: Mailing

  • 207 LANDMARK DR

    NORMAL, IL 617613195

    Phone: (309) 268-3200

    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: 2012-05-16

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
I20120516000031IQualified AudiologistIATBD

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 test5854$0
92567Test to assess middle ear function5649$0
View full utilization report →

Insurance plans in this area (ZIP 61554)

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Provider's Procedures

MRS. ANN MARIE SMITH (DOCTOR OF AUDIOLOGY) 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 probe4342

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: 8527950237View full group profile
NameSpecialtyState
Qualified AudiologistIL
O T O L A R Y N G O L O G YIA

Reviews

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Frequently asked questions

How is MRS. ANN MARIE SMITH (DOCTOR OF AUDIOLOGY) identified in CMS data?
CMS-hosted NPPES data lists MRS. ANN MARIE SMITH (DOCTOR OF AUDIOLOGY) with NPI 1952389975.
Does the file indicate MRS. ANN MARIE SMITH (DOCTOR OF AUDIOLOGY) is practicing under active NPI?
Directory data currently reports MRS. ANN MARIE SMITH (DOCTOR OF AUDIOLOGY) as active.
What healthcare role does MRS. ANN MARIE SMITH (DOCTOR OF AUDIOLOGY) hold?
Scheduling teams often label MRS. ANN MARIE SMITH (DOCTOR OF AUDIOLOGY) under Audiologist. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. ANN MARIE SMITH (DOCTOR OF AUDIOLOGY)?
MRS. ANN MARIE SMITH (DOCTOR OF AUDIOLOGY)'s geographic hint is Pekin, Illinois in our summary view.
Why does MRS. ANN MARIE SMITH (DOCTOR OF AUDIOLOGY) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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