MR. KEVIN AMDAHL (MA) – Audiologist-Hearing Aid Fitter, NPI 1972624286

Audiologist-Hearing Aid Fitter

MR. KEVIN AMDAHL (MA) is a healthcare provider. based in Maple grove, Minnesota. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials MA. They hold a License No. 748-156 (WI). The NPI Number for MR. KEVIN AMDAHL (MA) is 1972624286

Main info

Male

32 Years Of Experience

Accepts Medicare Assignment

Name

MR. KEVIN AMDAHL (MA)

NPI

1972624286

Phone

(763) 432-3386

Address

7270 Forestview Ln N Ste 160

Enumeration Date

3 April 2007

Last Update Date

2 April 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7155316710

Graduation Year

1994 (32 years ago)

PAC ID

8123123890

Group Practice PAC ID

1850661075

Professional Enrollment ID

I20211103000718

Address ID

WI540167848HU411XXRDXX300

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience76

Completeness75

Years active:19State licenses:2Digital endpointsOther names

264 QUALIFIED AUDIOLOGIST in MN

Provider Addresses for MR. KEVIN AMDAHL (MA)

7270 Forestview Ln N Ste 160
Maple Grove, MN 553695698
Phone: (763) 432-3386
Fax: (320) 252-0365
Type: Location
2848 2ND STREET SOUTH
185
SAINT CLOUD, MN 563014810
Phone: (320) 252-0094
Fax: (320) 252-0365
Type: Mailing
2848 2ND ST S STE 185
SAINT CLOUD, MN 563013708
Phone: (320) 252-0094
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: 2021-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

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
I20070425000357	I	Qualified Audiologist	MN	TBD
I20211103000718	I	Qualified Audiologist	WI	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
92557	Comprehensive hearing and speech recognition test	11	11	$0

View full utilization report →

Insurance plans in this area (ZIP 55369)

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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: 1850661075View full group profile