NICOLE D SAMUELSON (AUD) – Audiologist, NPI 1124275995
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
139 QUALIFIED AUDIOLOGIST in KS
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Provider Addresses for NICOLE D SAMUELSON (AUD)
520, South Santa Fe Avenue, Salina, Saline County, Kansas, 67401, United States
SUITE 200
SALINA, KS 674014190
Phone: (785) 823-7225
Fax: (785) 823-1017
Type: Location
757, Meadowbrook Road, Salina, Saline County, Kansas, 67401, United States
SALINA, KS 674015257
Phone: (785) 201-2568
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.
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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: 2010-01-15
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 |
|---|---|---|---|---|
| I20100115000809 | I | Qualified Audiologist | KS | 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 | 202 | 189 | $0 |
| 92567 | Test to assess middle ear function | 197 | 179 | $0 |
Insurance plans in this area (ZIP 67401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery | HI | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Qualified Audiologist | KS | |
| O T O L A R Y N G O L O G Y | NY | |
| Physician Assistant | KS | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | KS | |
| Nurse Practitioner | KS | |
| Pulmonary Disease | KS | |
| Physician Assistant | KS |
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