DR. JACQUELINE ROSE SOUTER (AU.D.) – Audiologist, NPI 1144864042

DR. JACQUELINE ROSE SOUTER (AU.D.) is a healthcare provider. based in Novi, Michigan. specializing in Audiologist. They hold the professional credentials AU.D.. They hold a License No. 147.001735 (IL). The NPI Number for DR. JACQUELINE ROSE SOUTER (AU.D.) is 1144864042

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACQUELINE ROSE SOUTER (AU.D.)
NPI
1144864042
Phone
Not provided
Address
22702 BURLINGTON CT
Enumeration Date
4 November 2019
Last Update Date
23 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8473579486
Graduation Year
2018 (8 years ago)
PAC ID
9032541115
Group Practice PAC ID
1052209426
Professional Enrollment ID
I20191111001694
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for DR. JACQUELINE ROSE SOUTER (AU.D.)

  • 22702 BURLINGTON CT

    NOVI, MI 483743797

    Phone:

    Type: Mailing

  • 800 BIESTERFIELD RD STE 401

    ELK GROVE VILLAGE, IL 600073378

    Phone: (847) 357-9486

    Type: Location

  • 675 N SAINT CLAIR ST STE 15-200

    CHICAGO, IL 606115967

    Phone: (312) 695-8182

    Fax: (312) 695-4303

    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: 2019-11-11

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
I20191111001694IQualified AudiologistILTBD

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 test338336$0
92567Test to assess middle ear function225222$0
92570Comprehensive hearing test5252$0
View full utilization report →

Insurance plans in this area (ZIP 48374)

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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: 1052209426View full group profile

Reviews

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Frequently asked questions

What is DR. JACQUELINE ROSE SOUTER (AU.D.)'s NPI number?
DR. JACQUELINE ROSE SOUTER (AU.D.)'s NPI is 1144864042 — the number used across U.S. healthcare to identify this provider.
Is DR. JACQUELINE ROSE SOUTER (AU.D.) still an active registrant?
DR. JACQUELINE ROSE SOUTER (AU.D.) carries an active NPI according to the public dataset.
What area of care is associated with DR. JACQUELINE ROSE SOUTER (AU.D.)?
DR. JACQUELINE ROSE SOUTER (AU.D.)'s record emphasizes Audiologist. Clinical services aligned with this taxonomy classification.
Is DR. JACQUELINE ROSE SOUTER (AU.D.) located near Novi?
DR. JACQUELINE ROSE SOUTER (AU.D.) currently maps to Novi, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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