KELLY M SHOOK (AU.D.) – Audiologist, NPI 1164693099
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
264 QUALIFIED AUDIOLOGIST in MN
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Provider Addresses for KELLY M SHOOK (AU.D.)
Park Avenue, Minneapolis, Hennepin County, Minnesota, 55415, United States
MINNEAPOLIS, MN 554043711
Phone: (612) 871-1144
Fax: (612) 871-2012
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: 2008-05-29
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 |
|---|---|---|---|---|
| I20080529000087 | I | Qualified Audiologist | MN | 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 | 74 | 73 | $0 |
| 92567 | Test to assess middle ear function | 47 | 46 | $0 |
| 92552 | Test for hearing various pitches using earphone | 27 | 25 | $0 |
| 92556 | Test for ability to detect and repeat spoken words with speech recognition | 19 | 17 | $0 |
Insurance plans in this area (ZIP 55404)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| QUALIFIED AUDIOLOGIST | MN | 92552 | Pure tone air conduction threshold hearing assessment | 21 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Qualified Audiologist | MN | |
| Qualified Audiologist | MN | |
| Physician Assistant | MN | |
| Qualified Speech Language Pathologist | MN | |
| - | KS | |
| O T O L A R Y N G O L O G Y | MN | |
| - | MN | |
| O T O L A R Y N G O L O G Y | AL | |
| Qualified Audiologist | MN |
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