MRS. JODIE LYNN MENSINK (AUD CCC A) – Audiologist, NPI 1790721124

MRS. JODIE LYNN MENSINK (AUD CCC A) is a healthcare provider. based in Woodbury, Minnesota. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD CCC A. They hold a License No. 6289 (MN). The NPI Number for MRS. JODIE LYNN MENSINK (AUD CCC A) is 1790721124

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JODIE LYNN MENSINK (AUD CCC A)
NPI
1790721124
Phone
(651) 702-0750
Address
215 RADIO DR STE 202
Enumeration Date
22 June 2006
Last Update Date
20 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6517020750
Graduation Year
2003 (23 years ago)
PAC ID
3870664055
Group Practice PAC ID
1658268651
Professional Enrollment ID
I20080616000354
Address ID
MN551277135VA3590XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

264 QUALIFIED AUDIOLOGIST in MN

Provider Addresses for MRS. JODIE LYNN MENSINK (AUD CCC A)

  • 215 RADIO DR STE 202

    WOODBURY, MN 551255822

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Mailing

  • 217 RADIO DR

    WOODBURY, MN 551255805

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

  • 3590 Arcade St

    Vadnais Heights, MN 551277135

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

  • 3460 Promenade Ave

    Eagan, MN 551234404

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

  • 11020 161st St W

    Lakeville, MN 550446507

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    Type: Location

  • Midwest Eye & Ear Institute, 2080, Woodwinds Drive, Woodbury, Washington County, Minnesota, 55125, United States

    #120

    WOODBURY, MN 55125

    Phone: (651) 702-0750

    Fax: (651) 645-6166

    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: 2008-06-16

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
I20080616000354IQualified AudiologistMNTBD

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 test7272$0
92567Test to assess middle ear function3939$0
View full utilization report →

Insurance plans in this area (ZIP 55125)

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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: 1658268651View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMN
Otolaryngology, Plastic And Reconstructive SurgeryMN
O T O L A R Y N G O L O G YMN
O T O L A R Y N G O L O G YMN
Physician AssistantMN
Physician AssistantMN
Qualified AudiologistMN
Qualified AudiologistMN
Qualified AudiologistMN
Nurse PractitionerWI

Reviews

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Frequently asked questions

What NPI should I save for MRS. JODIE LYNN MENSINK (AUD CCC A)?
Save NPI 1790721124 if you need a stable reference for MRS. JODIE LYNN MENSINK (AUD CCC A).
Is MRS. JODIE LYNN MENSINK (AUD CCC A)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MRS. JODIE LYNN MENSINK (AUD CCC A) work in?
You can think of MRS. JODIE LYNN MENSINK (AUD CCC A) as practicing within Audiologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. JODIE LYNN MENSINK (AUD CCC A)?
The page summarizes Woodbury, Minnesota for MRS. JODIE LYNN MENSINK (AUD CCC A); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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