SUSAN ELIZABETH SMITTKAMP (PH.D.) – Audiologist, NPI 1306104153

SUSAN ELIZABETH SMITTKAMP (PH.D.) is a healthcare provider. based in Shawnee mission, Kansas. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 2216 (KS). The NPI Number for SUSAN ELIZABETH SMITTKAMP (PH.D.) is 1306104153

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN ELIZABETH SMITTKAMP (PH.D.)
NPI
1306104153
Phone
(913) 384-2105
Address
8800 W 75TH ST STE 101
Enumeration Date
30 April 2012
Last Update Date
30 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9134030018
Graduation Year
2012 (14 years ago)
PAC ID
4082860911
Group Practice PAC ID
4183693187
Professional Enrollment ID
I20120809000195
Address ID
KS662044001SH8800XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

139 QUALIFIED AUDIOLOGIST in KS

Provider Addresses for SUSAN ELIZABETH SMITTKAMP (PH.D.)

  • 8800 W 75TH ST STE 101

    SHAWNEE MISSION, KS 662044001

    Phone: (913) 384-2105

    Fax: (913) 384-0735

    Mailing address matches the actual address.

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: 2012-08-09

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
I20120809000195IQualified AudiologistKSTBD

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 test138137$0
92588Placement of ear probe for computerized measurement of repeated sounds with interpretation and report7473$0
92550Test for eardrum and muscle function3231$0
92567Test to assess middle ear function1211$0
92570Comprehensive hearing test1212$0
View full utilization report →

Insurance plans in this area (ZIP 66204)

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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: 4183693187View full group profile
NameSpecialtyState
Qualified AudiologistKS
Qualified AudiologistKS
Qualified AudiologistKS
Qualified AudiologistKS
Qualified AudiologistFL
Qualified AudiologistKS
Qualified AudiologistKS
-KS
Qualified AudiologistKS
-KS

Reviews

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Frequently asked questions

Can I use this page to confirm SUSAN ELIZABETH SMITTKAMP (PH.D.)'s NPI?
Yes. SUSAN ELIZABETH SMITTKAMP (PH.D.) is listed with NPI 1306104153 in the public NPI dataset.
Does the file indicate SUSAN ELIZABETH SMITTKAMP (PH.D.) is practicing under active NPI?
Directory data currently reports SUSAN ELIZABETH SMITTKAMP (PH.D.) as active.
What taxonomy line describes SUSAN ELIZABETH SMITTKAMP (PH.D.)?
For research purposes, treat SUSAN ELIZABETH SMITTKAMP (PH.D.) as Audiologist in this dataset. Clinical services aligned with this taxonomy classification.
Does SUSAN ELIZABETH SMITTKAMP (PH.D.) list a practice location?
Patients near Shawnee Mission, Kansas may find SUSAN ELIZABETH SMITTKAMP (PH.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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