MR. MITCH SMEDING WANGSGARD – Audiologist, NPI 1083139497
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
105 QUALIFIED AUDIOLOGIST in UT
Provider Addresses for MR. MITCH SMEDING WANGSGARD
2121 N 1700 W
LAYTON, UT 840418803
Phone: (801) 773-4840
Fax: (801) 525-8151
Type: Location
1415 W HIGHWAY 50
O FALLON, IL 622691618
Phone: (801) 603-0065
Fax: (618) 724-4496
Type: Mailing
PO BOX 337
LAYTON, UT 840410337
Phone: (018) 773-4840
Fax: (801) 525-8151
Type: Mailing
1415 W Highway 50
O Fallon, IL 622691618
Phone: (618) 624-4471
Fax: (618) 624-4496
Type: Location
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: 2024-05-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240516002978 | I | Qualified Audiologist | UT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Family Practice | UT | |
| Physician Assistant | UT | |
| Internal Medicine, Endocrinology | UT | |
| Family Practice | UT | |
| - | UT | |
| O T O L A R Y N G O L O G Y | UT | |
| Physician Assistant | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| Physician Assistant | UT |
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