KRISTINE LOUISE LANDENBERGER (M.A., CCC/A) – Audiologist, NPI 1104916360

KRISTINE LOUISE LANDENBERGER (M.A., CCC/A) is a healthcare provider. based in Canton, Ohio. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials M.A., CCC/A. They hold a License No. A-00699 (OH). The NPI Number for KRISTINE LOUISE LANDENBERGER (M.A., CCC/A) is 1104916360

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE LOUISE LANDENBERGER (M.A., CCC/A)
NPI
1104916360
Phone
(330) 492-2844
Address
4912 HIGBEE AVE NW
Enumeration Date
16 October 2006
Last Update Date
24 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
5597816777
Group Practice PAC ID
2860426376
Professional Enrollment ID
I20090629000448
Address ID
OH447182599Ca4912XNWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

412 QUALIFIED AUDIOLOGIST in OH

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Provider Addresses for KRISTINE LOUISE LANDENBERGER (M.A., CCC/A)

  • Canton Studen Loan Foundation, Higbee Avenue Northwest, Jackson Township, Stark County, Ohio, 44718, United States

    SUITE #200

    CANTON, OH 447182530

    Phone: (330) 492-2844

    Fax: (330) 492-0840

    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: 2009-06-29

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
I20090629000448IQualified AudiologistOHTBD

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 test110108$0
92567Test to assess middle ear function107105$0
View full utilization report →

Insurance plans in this area (ZIP 44718)

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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: 2860426376View full group profile
NameSpecialtyState
Qualified AudiologistOH
-OH
Qualified AudiologistOH
O T O L A R Y N G O L O G YOH
O T O L A R Y N G O L O G YOH
Qualified AudiologistOH
Otolaryngology, Plastic And Reconstructive SurgeryOH
O T O L A R Y N G O L O G YOH
Physician AssistantOH
Physician AssistantOH

Reviews

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Frequently asked questions

How do payers reference KRISTINE LOUISE LANDENBERGER (M.A., CCC/A)?
For KRISTINE LOUISE LANDENBERGER (M.A., CCC/A), use NPI 1104916360 as the unique 10-digit identifier.
Is KRISTINE LOUISE LANDENBERGER (M.A., CCC/A) shown as active in public data?
Registry records indicate KRISTINE LOUISE LANDENBERGER (M.A., CCC/A) maintains an active NPI.
What expertise is attributed to KRISTINE LOUISE LANDENBERGER (M.A., CCC/A)?
KRISTINE LOUISE LANDENBERGER (M.A., CCC/A)'s specialty line reads Audiologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KRISTINE LOUISE LANDENBERGER (M.A., CCC/A)?
Travel planning: use Canton, Ohio as the reference point for KRISTINE LOUISE LANDENBERGER (M.A., CCC/A), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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