ELIZABETH A GANSEN (AU.D) – Audiologist, NPI 1063897403
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
230 QUALIFIED AUDIOLOGIST in MO
Provider Addresses for ELIZABETH A GANSEN (AU.D)
3340 NE RALPH POWELL RD
SUITE B
LEES SUMMIT, MO 640642368
Phone: (816) 875-2603
Fax: (816) 875-1930
Type: Mailing
4880 NE GOODVIEW CIR
LEES SUMMIT, MO 640641996
Phone: (816) 478-4200
Fax: (816) 875-2597
Type: Location
2521 GLENN HENDREN DR STE 104
LIBERTY, MO 640683388
Phone: (816) 781-1001
Fax: (816) 792-0408
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.
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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: 2015-08-12
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 |
|---|---|---|---|---|
| I20150812008353 | I | Qualified Audiologist | MO | 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 | 153 | 151 | $0 |
| 92567 | Test to assess middle ear function | 54 | 54 | $0 |
Insurance plans in this area (ZIP 64064)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MO | |
| - | MO | |
| Cardiovascular Disease (Cardiology) | TX | |
| Pediatric Medicine, Internal Medicine | MO | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine, Hospitalist | OK | |
| Nurse Practitioner | MO | |
| Infectious Disease | MO | |
| Orthopedic Surgery | MO |
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