DR. DEREK BEAUDOIN (AUD) – Audiologist, NPI 1114570694

DR. DEREK BEAUDOIN (AUD) is a healthcare provider. based in Nashville, Tennessee. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 197 (HI). The NPI Number for DR. DEREK BEAUDOIN (AUD) is 1114570694

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEREK BEAUDOIN (AUD)
NPI
1114570694
Phone
(615) 340-4000
Address
PO BOX 331049
Enumeration Date
23 July 2019
Last Update Date
30 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
24852821166
Graduation Year
2019 (7 years ago)
PAC ID
2769710995
Group Practice PAC ID
0941469621
Professional Enrollment ID
I20250903000670
Address ID
KY410113603FT35XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

278 QUALIFIED AUDIOLOGIST in TN

Provider Addresses for DR. DEREK BEAUDOIN (AUD)

  • PO BOX 331049

    NASHVILLE, TN 372037508

    Phone: (615) 340-4000

    Fax: (615) 327-4449

    Type: Mailing

  • 2004 HAYES ST STE 600

    NASHVILLE, TN 372032663

    Phone: (615) 340-4000

    Fax: (615) 327-4449

    Type: Location

  • 73-5618 MAIAU ST STE A203

    KAILUA KONA, HI 967402634

    Phone: (808) 329-0943

    Fax: (808) 329-0943

    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: 2025-09-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20190826001209IQualified AudiologistHITBD
I20220124000278IQualified AudiologistTNTBD
I20250903000670IQualified AudiologistKYTBD

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 test1717$0
92519Vemp testing of upper and lower branches of inner ear nerve with interpretation and report1313$0
92540Evaluation and testing for balance with recording1313$0
92547Use of electrodes during balance testing1313$0
92567Test to assess middle ear function1313$0
View full utilization report →

Insurance plans in this area (ZIP 37203)

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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: 0941469621View full group profile
NameSpecialtyState
Qualified AudiologistIN
Nurse PractitionerME
Qualified AudiologistCA
Nurse PractitionerKY
-KY
Qualified AudiologistKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Is there an official ID for DR. DEREK BEAUDOIN (AUD) in U.S. healthcare records?
The official identifier for DR. DEREK BEAUDOIN (AUD) is NPI 1114570694.
Active or inactive — what applies to DR. DEREK BEAUDOIN (AUD)?
You should see DR. DEREK BEAUDOIN (AUD) as active in CMS-hosted NPPES data.
What kind of doctor is DR. DEREK BEAUDOIN (AUD)?
DR. DEREK BEAUDOIN (AUD) is associated with Audiologist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DEREK BEAUDOIN (AUD)?
Travel planning: use Nashville, Tennessee as the reference point for DR. DEREK BEAUDOIN (AUD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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