MRS. AMANDA J MOORE (M.A CCC-A) – Audiologist, NPI 1962668616

MRS. AMANDA J MOORE (M.A CCC-A) is a healthcare provider. based in Streamwood, Illinois. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials M.A CCC-A. They hold a License No. 147.001023 (IL). The NPI Number for MRS. AMANDA J MOORE (M.A CCC-A) is 1962668616

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA J MOORE (M.A CCC-A)
NPI
1962668616
Phone
(630) 213-5851
Address
1149 OAK RIDGE DR
Enumeration Date
1 August 2008
Last Update Date
11 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8477418500
Graduation Year
2001 (25 years ago)
PAC ID
6406091578
Group Practice PAC ID
7517858764
Professional Enrollment ID
I20130320000096
Address ID
IL601234703EL750XXDRXX312
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

401 QUALIFIED AUDIOLOGIST in IL

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Provider Addresses for MRS. AMANDA J MOORE (M.A CCC-A)

  • 1149, Oak Ridge Drive, Southwicke, Streamwood, Hanover Township, Cook County, Illinois, 60107, United States

    STREAMWOOD, IL 601072175

    Phone: (630) 213-5851

    Type: Mailing

  • 2350, Royal Boulevard, Valley Creek, Elgin, Kane County, Illinois, 60123, United States

    ELGIN, IL 601234719

    Phone: (847) 697-3800

    Type: Location

  • 750 FLETCHER DR STE 100

    ELGIN, IL 601234703

    Phone: (847) 741-8500

    Fax: (847) 741-8587

    Type: Mailing

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: 2013-03-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130320000096IQualified 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
92557Comprehensive hearing and speech recognition test164163$0
92567Test to assess middle ear function8481$0
92552Test for hearing various pitches using earphone2222$0
92553Test for hearing various pitches using earphone and device placed against the bone2120$0
View full utilization report →

Insurance plans in this area (ZIP 60107)

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Provider's Procedures

MRS. AMANDA J MOORE (M.A CCC-A) 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 probe7067

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: 7517858764View full group profile
NameSpecialtyState
Qualified AudiologistIL
Qualified AudiologistIL
O T O L A R Y N G O L O G YIL
Qualified AudiologistIL
O T O L A R Y N G O L O G YIL

Reviews

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Frequently asked questions

How do I look up MRS. AMANDA J MOORE (M.A CCC-A) by NPI?
Use NPI 1962668616 when you need to reference MRS. AMANDA J MOORE (M.A CCC-A) in forms, claims, or directories.
Is MRS. AMANDA J MOORE (M.A CCC-A) currently active in the NPI registry?
CMS-published data lists MRS. AMANDA J MOORE (M.A CCC-A) as an active registrant.
What field does MRS. AMANDA J MOORE (M.A CCC-A) work in?
You can think of MRS. AMANDA J MOORE (M.A CCC-A) as practicing within Audiologist. Clinical services aligned with this taxonomy classification.
Where is MRS. AMANDA J MOORE (M.A CCC-A)'s primary listing?
We display Streamwood, Illinois because that is what the record indicates for MRS. AMANDA J MOORE (M.A CCC-A).
What if Streamwood, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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