DR. SHANNON MARIE (A.U.D.) – Audiologist, NPI 1043475585
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
273 QUALIFIED AUDIOLOGIST in WA
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Provider Addresses for DR. SHANNON MARIE (A.U.D.)
1149, North Edison Street, Tri-Cities, Benton County, Washington, 99336, United States
SUITE D
KENNEWICK, WA 99336
Phone: (509) 736-4005
Fax: (509) 737-9525
Type: Mailing
300 S 2nd Ave
Walla Walla, WA 993623035
Phone: (509) 876-4541
Fax: (509) 525-1998
Type: Location
4015 W CLEARWATER AVE
KENNEWICK, WA 993365028
Phone: (509) 736-4005
Fax: (509) 737-9525
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: 2009-01-12
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 |
|---|---|---|---|---|
| I20090112000497 | I | Qualified Audiologist | WA | 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 |
|---|---|---|---|---|
| 92504 | Exam of ear using a microscope | 124 | 108 | $0 |
| 92557 | Comprehensive hearing and speech recognition test | 90 | 90 | $0 |
| 92550 | Test for eardrum and muscle function | 63 | 63 | $0 |
| 92567 | Test to assess middle ear function | 21 | 21 | $0 |
Insurance plans in this area (ZIP 99336)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | WA | |
| Qualified Audiologist | NC | |
| Qualified Audiologist | WA |
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