SAMANTHA BETH KING (AU.D.) – Audiologist, NPI 1679752042

SAMANTHA BETH KING (AU.D.) is a healthcare provider. based in Portage, Michigan. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 1601000471 (MI). The NPI Number for SAMANTHA BETH KING (AU.D.) is 1679752042

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA BETH KING (AU.D.)
NPI
1679752042
Phone
(269) 372-2709
Address
4855 W CENTRE AVE
Enumeration Date
1 November 2007
Last Update Date
30 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693722709
Graduation Year
2007 (19 years ago)
PAC ID
6406901677
Group Practice PAC ID
0244148633
Professional Enrollment ID
I20090911000517
Address ID
MI490244686PO4855XAVEX401

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

302 QUALIFIED AUDIOLOGIST in MI

Provider Addresses for SAMANTHA BETH KING (AU.D.)

  • 4855 W CENTRE AVE

    PORTAGE, MI 490244686

    Phone: (269) 372-2709

    Type: Location

  • 4424, Moonlite Avenue, Kalamazoo, Kalamazoo County, Michigan, 49009, United States

    KALAMAZOO, MI 490099545

    Phone: (269) 544-0497

    Type: Mailing

  • 1634, Gull Road, Kalamazoo Charter Township, Kalamazoo County, Michigan, 49048, United States

    KALAMAZOO, MI 490481632

    Phone: (269) 343-2601

    Type: Location

  • 1634 Gull Rd

    Kalamazoo, MI 490481632

    Phone: (269) 343-2601

    Type: Location

  • 601 JOHN ST # 42

    KALAMAZOO, MI 490075341

    Phone:

    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: 2009-09-11

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
I20090911000517IQualified AudiologistMITBD

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 test6868$0
92567Test to assess middle ear function1818$0
View full utilization report →

Insurance plans in this area (ZIP 49024)

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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: 0244148633View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Hand Surgery, Orthopedic SurgeryMI
Physician AssistantMI
Physician AssistantMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Endocrinology, Internal MedicineMI
Clinical Social WorkerMI
Internal MedicineMI

Reviews

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Frequently asked questions

Does SAMANTHA BETH KING (AU.D.) have a public NPI I can cite?
Public records show SAMANTHA BETH KING (AU.D.) under NPI 1679752042.
Does the public listing show SAMANTHA BETH KING (AU.D.) as active?
SAMANTHA BETH KING (AU.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits SAMANTHA BETH KING (AU.D.)?
NPPES ties SAMANTHA BETH KING (AU.D.) to Audiologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SAMANTHA BETH KING (AU.D.)?
SAMANTHA BETH KING (AU.D.) is associated with Portage, Michigan in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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