MS. TANYA MCCREA NIELSEN (MS CCCA) – Audiologist, NPI 1710145099

MS. TANYA MCCREA NIELSEN (MS CCCA) is a healthcare provider. based in Liberty, Missouri. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials MS CCCA. They hold a License No. 051 (NE). The NPI Number for MS. TANYA MCCREA NIELSEN (MS CCCA) is 1710145099

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MS. TANYA MCCREA NIELSEN (MS CCCA)
NPI
1710145099
Phone
(816) 781-6066
Address
2521 GLENN HENDREN DR STE 104
Enumeration Date
23 May 2008
Last Update Date
26 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8167811001
Graduation Year
2001 (25 years ago)
PAC ID
7113909383
Group Practice PAC ID
9931166618
Professional Enrollment ID
I20191205001879
Address ID
MO640683388LI2521XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

230 QUALIFIED AUDIOLOGIST in MO

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Provider Addresses for MS. TANYA MCCREA NIELSEN (MS CCCA)

  • Glenn Hendren Drive, Liberty, Clay County, Missouri, 64068-1901, United States

    LIBERTY, MO 640683388

    Phone: (816) 781-6066

    Fax: (816) 792-0408

    Type: Location

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641219672

    Phone: (816) 407-4200

    Fax: (816) 407-2362

    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: 2019-12-05

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
I20191205001879IQualified 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92557Comprehensive hearing and speech recognition test161158$0
92567Test to assess middle ear function5857$0
View full utilization report →

Insurance plans in this area (ZIP 64068)

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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: 9931166618View full group profile
NameSpecialtyState
Internal MedicineMO
-MO
Cardiovascular Disease (Cardiology)TX
Pediatric Medicine, Internal MedicineMO
Cardiovascular Disease (Cardiology), Interventional CardiologyMO
Qualified AudiologistMO
Nurse PractitionerMO
Internal Medicine, HospitalistOK
Nurse PractitionerMO
Infectious DiseaseMO

Reviews

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Frequently asked questions

Is there an official ID for MS. TANYA MCCREA NIELSEN (MS CCCA) in U.S. healthcare records?
The official identifier for MS. TANYA MCCREA NIELSEN (MS CCCA) is NPI 1710145099.
Is MS. TANYA MCCREA NIELSEN (MS CCCA) still an active registrant?
MS. TANYA MCCREA NIELSEN (MS CCCA) carries an active NPI according to the public dataset.
What kind of doctor is MS. TANYA MCCREA NIELSEN (MS CCCA)?
MS. TANYA MCCREA NIELSEN (MS CCCA) is associated with Audiologist in the directory — Clinical services aligned with this taxonomy classification.
Is MS. TANYA MCCREA NIELSEN (MS CCCA) associated with Liberty?
Public fields place MS. TANYA MCCREA NIELSEN (MS CCCA) around Liberty, Missouri. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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