JILLIAN CLARK BLAISDELL – Audiologist, NPI 1881171403
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
40 QUALIFIED AUDIOLOGIST in RI
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Provider Addresses for JILLIAN CLARK BLAISDELL
2, West River Street, Providence, Providence County, Rhode Island, 02904, United States
PROVIDENCE, RI 029042615
Phone: (401) 616-1719
Fax: (401) 727-1979
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.
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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: 2018-08-09
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20180809000317 | I | Qualified Audiologist | RI | 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 | 169 | 167 | $0 |
| 92567 | Test to assess middle ear function | 168 | 166 | $0 |
Insurance plans in this area (ZIP 02904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | UT | |
| Otolaryngology, Plastic And Reconstructive Surgery | RI | |
| Qualified Audiologist | RI | |
| O T O L A R Y N G O L O G Y | RI | |
| O T O L A R Y N G O L O G Y | RI | |
| Qualified Audiologist | RI | |
| - | RI | |
| O T O L A R Y N G O L O G Y | RI | |
| - | RI |
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