ANDREA R EDMISTER (AUD) – Audiologist, NPI 1265766703

ANDREA R EDMISTER (AUD) is a healthcare provider. based in Granger, Indiana. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 80209 (TX). The NPI Number for ANDREA R EDMISTER (AUD) is 1265766703

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA R EDMISTER (AUD)
NPI
1265766703
Phone
(574) 647-1840
Address
3245 HEALTH DRIVE
Enumeration Date
1 October 2009
Last Update Date
28 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5742351010
Graduation Year
2009 (17 years ago)
PAC ID
1951622133
Group Practice PAC ID
1254243306
Professional Enrollment ID
I20230327001374
Address ID
IN466011168SO100XXPLXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

249 QUALIFIED AUDIOLOGIST in IN

Provider Addresses for ANDREA R EDMISTER (AUD)

  • 3245 HEALTH DRIVE

    SUITE 100

    GRANGER, IN 465303245

    Phone: (574) 647-1840

    Type: Mailing

  • 100 NAVARRE PL

    STE 4460

    SOUTH BEND, IN 466011168

    Phone: (574) 235-1010

    Fax: (574) 232-2064

    Type: Location

  • Jack in the Box, Presidio Vista, Presidio Junction, Fort Worth, Tarrant County, Texas, 76244, United States

    FORT WORTH, TX 761990213

    Phone: (682) 885-4432

    Fax: (682) 885-3936

    Type: Mailing

  • 1919, 8th Avenue, Fairmount, Fort Worth, Tarrant County, Texas, 76110, United States

    FORT WORTH, TX 761101358

    Phone: (682) 885-4063

    Fax: (682) 885-1878

    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: 2023-03-27

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
I20230327001374IQualified AudiologistINTBD

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 test7067$0
92567Test to assess middle ear function6562$0
View full utilization report →

Insurance plans in this area (ZIP 46530)

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Provider's Procedures

ANDREA R EDMISTER (AUD) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTTX92567Eardrum testing using ear probe142138

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: 1254243306View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional CardiologyIN
Nurse PractitionerIN
-IN
Qualified AudiologistIN
Nurse PractitionerIN
-IN
Nurse PractitionerIN
-IN
General SurgeryIN
-IN

Reviews

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Frequently asked questions

How do payers reference ANDREA R EDMISTER (AUD)?
For ANDREA R EDMISTER (AUD), use NPI 1265766703 as the unique 10-digit identifier.
Would ANDREA R EDMISTER (AUD) appear as active to a payer?
You can treat ANDREA R EDMISTER (AUD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with ANDREA R EDMISTER (AUD)?
ANDREA R EDMISTER (AUD)'s record emphasizes Audiologist. Clinical services aligned with this taxonomy classification.
Is ANDREA R EDMISTER (AUD) located near Granger?
ANDREA R EDMISTER (AUD) currently maps to Granger, Indiana in this extract.
Can I trust this NPI listing for ANDREA R EDMISTER (AUD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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