DR. SAMANTHA JO DEWEY (AU.D.) – Audiologist, NPI 1285468736

DR. SAMANTHA JO DEWEY (AU.D.) is a healthcare provider. based in Joplin, Missouri. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 2024035192 (MO). The NPI Number for DR. SAMANTHA JO DEWEY (AU.D.) is 1285468736

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMANTHA JO DEWEY (AU.D.)
NPI
1285468736
Phone
(417) 781-2311
Address
2311 S JACKSON AVE
Enumeration Date
28 August 2024
Last Update Date
28 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4177812311
Graduation Year
2024 (2 years ago)
PAC ID
4981130093
Group Practice PAC ID
0648464552
Professional Enrollment ID
I20241212003313
Address ID
MO648041936JO2311XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

230 QUALIFIED AUDIOLOGIST in MO

Provider Addresses for DR. SAMANTHA JO DEWEY (AU.D.)

  • 2311 S JACKSON AVE

    JOPLIN, MO 648041936

    Phone: (417) 781-2311

    Fax: (417) 781-6477

    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: 2024-12-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241212003313IQualified AudiologistMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64804)

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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: 0648464552View full group profile
NameSpecialtyState
Qualified AudiologistMO
Qualified AudiologistMO

Reviews

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Frequently asked questions

Where can patients find DR. SAMANTHA JO DEWEY (AU.D.)'s NPI?
You can confirm DR. SAMANTHA JO DEWEY (AU.D.) with NPI 1285468736; it appears in the national provider directory.
Does this profile mean DR. SAMANTHA JO DEWEY (AU.D.) is currently active?
Yes — DR. SAMANTHA JO DEWEY (AU.D.) appears active in the national provider directory.
Can you summarize DR. SAMANTHA JO DEWEY (AU.D.)'s specialty in plain language?
Clinically, the directory lists DR. SAMANTHA JO DEWEY (AU.D.) with Audiologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SAMANTHA JO DEWEY (AU.D.)?
The page summarizes Joplin, Missouri for DR. SAMANTHA JO DEWEY (AU.D.); expand the address list for detail.
How can I contact DR. SAMANTHA JO DEWEY (AU.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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