STACEY LEE SHILTS (MS CCC-A) – Audiologist, NPI 1063684140
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
249 QUALIFIED AUDIOLOGIST in IN
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Provider Addresses for STACEY LEE SHILTS (MS CCC-A)
1025, Michigan Avenue, Logansport, Cass County, Indiana, 46947, United States
STE 215
LOGANSPORT, IN 469471594
Phone: (574) 753-2222
Fax: (574) 753-0522
Type: Mailing
1025 Michigan Ave
Ste 215
Logansport, IN 469471594
Phone: (574) 753-2222
Fax: (574) 753-0522
Type: Location
720 ESKENAZI AVE
INDIANAPOLIS, IN 462025187
Phone: (317) 880-7666
Type: Location
PO BOX 637764
CINCINNATI, OH 452637764
Phone: (317) 880-3939
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: 2009-03-03
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 |
|---|---|---|---|---|
| I20090303000417 | I | Qualified Audiologist | IN | 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 | 91 | 91 | $0 |
Insurance plans in this area (ZIP 46947)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| H O S P I T A L I S T | OH | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | OH | |
| Internal Medicine, Hospitalist | NM | |
| Internal Medicine | IN | |
| - | IN | |
| Internal Medicine | IN | |
| Hospitalist, Pediatric Medicine | IN |
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