DR. ALEXANDER BANNON (AUD) – Audiologist, NPI 1326534017

DR. ALEXANDER BANNON (AUD) is a healthcare provider. based in State college, Pennsylvania. specializing in Audiologist. They hold the professional credentials AUD. They hold a License No. AT006568 (PA). The NPI Number for DR. ALEXANDER BANNON (AUD) is 1326534017

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDER BANNON (AUD)
NPI
1326534017
Phone
(814) 641-4327
Address
100 Oakwood Ave
Enumeration Date
5 July 2018
Last Update Date
5 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8146414327
Graduation Year
2018 (8 years ago)
PAC ID
0345599973
Group Practice PAC ID
2466521158
Professional Enrollment ID
I20180815002040
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for DR. ALEXANDER BANNON (AUD)

  • 100 Oakwood Ave

    State College, PA 168032636

    Phone: (814) 641-4327

    Fax: (814) 641-7104

    Type: Location

  • 132 Abigail Ln

    Port Matilda, PA 168707153

    Phone: (814) 641-4327

    Fax: (814) 641-7104

    Type: Location

  • 1130 W 4th St Ste 2

    Lewistown, PA 170441909

    Phone: (814) 641-4327

    Fax: (814) 641-7104

    Type: Location

  • 200, Mifflin Street, Huntingdon, Huntingdon County, Pennsylvania, 16652, United States

    HUNTINGDON, PA 166521436

    Phone: (814) 641-4327

    Fax: (814) 641-7104

    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: 2018-08-15

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
I20180815002040IQualified AudiologistPATBD

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 16803)

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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: 2466521158View full group profile
NameSpecialtyState
Qualified AudiologistPA
Qualified AudiologistPA
Qualified AudiologistPA
Qualified AudiologistPA
Qualified AudiologistPA

Reviews

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Frequently asked questions

What identifier follows DR. ALEXANDER BANNON (AUD) across health systems?
The NPI 1326534017 uniquely identifies DR. ALEXANDER BANNON (AUD) in U.S. healthcare data.
Should I treat DR. ALEXANDER BANNON (AUD) as an active provider?
Patients and plans typically see DR. ALEXANDER BANNON (AUD) as active in the national extract.
Which specialty label fits DR. ALEXANDER BANNON (AUD)?
NPPES ties DR. ALEXANDER BANNON (AUD) to Audiologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ALEXANDER BANNON (AUD)?
The directory associates DR. ALEXANDER BANNON (AUD) with State College, Pennsylvania. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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