DR. MEAGAN MAE WALCZAK (AUD CCCA FAAA ABA) – Audiologist, NPI 1457007908

DR. MEAGAN MAE WALCZAK (AUD CCCA FAAA ABA) is a healthcare provider. based in Worcester, Massachusetts. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD CCCA FAAA ABA. They hold a License No. AUD4901 (MA). The NPI Number for DR. MEAGAN MAE WALCZAK (AUD CCCA FAAA ABA) is 1457007908

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. MEAGAN MAE WALCZAK (AUD CCCA FAAA ABA)
NPI
1457007908
Phone
(413) 575-0554
Address
721 GROVE ST
Enumeration Date
23 February 2022
Last Update Date
28 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2038692030
Graduation Year
2020 (6 years ago)
PAC ID
4587005079
Group Practice PAC ID
5890755193
Professional Enrollment ID
I20240515001690
Address ID
CT068304519GR49XXXAVEX301

Contacts

Main Contact
https://pro.sycle.net/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Other namesUpdated within 12 months

288 QUALIFIED AUDIOLOGIST in MA

Provider Addresses for DR. MEAGAN MAE WALCZAK (AUD CCCA FAAA ABA)

  • 721 GROVE ST

    WORCESTER, MA 016053105

    Phone: (413) 575-0554

    Type: Mailing

  • 102 SHORE DR STE 400

    WORCESTER, MA 016053154

    Phone: (508) 502-7851

    Type: Location

  • 49 LAKE AVE STE 103

    GREENWICH, CT 068304519

    Phone: (203) 869-2030

    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: 2024-05-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240515001690IQualified AudiologistCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01605)

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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: 5890755193View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YIA
Qualified AudiologistNY
-NY
-CT
Qualified AudiologistCT
O T O L A R Y N G O L O G YCT
O T O L A R Y N G O L O G YNJ
Qualified AudiologistCT
O T O L A R Y N G O L O G YCT
O T O L A R Y N G O L O G YCT

Reviews

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Frequently asked questions

Can I cross-check DR. MEAGAN MAE WALCZAK (AUD CCCA FAAA ABA) using NPI 1457007908?
NPI 1457007908 belongs to DR. MEAGAN MAE WALCZAK (AUD CCCA FAAA ABA); compare other details if you need extra assurance.
Is there an active status for DR. MEAGAN MAE WALCZAK (AUD CCCA FAAA ABA)?
For scheduling context, DR. MEAGAN MAE WALCZAK (AUD CCCA FAAA ABA) is shown as active in the registry.
What clinical focus is listed for DR. MEAGAN MAE WALCZAK (AUD CCCA FAAA ABA)?
At a glance, DR. MEAGAN MAE WALCZAK (AUD CCCA FAAA ABA) is tied to Audiologist. Clinical services aligned with this taxonomy classification.
Is DR. MEAGAN MAE WALCZAK (AUD CCCA FAAA ABA) associated with Worcester?
Public fields place DR. MEAGAN MAE WALCZAK (AUD CCCA FAAA ABA) around Worcester, Massachusetts. Always confirm the exact site before visiting.
Does DR. MEAGAN MAE WALCZAK (AUD CCCA FAAA ABA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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