DR. RAENA SUE DEPERRY (AUD) – Audiologist, NPI 1114018447

DR. RAENA SUE DEPERRY (AUD) is a healthcare provider. based in River falls, Wisconsin. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 8072 (FM). The NPI Number for DR. RAENA SUE DEPERRY (AUD) is 1114018447

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAENA SUE DEPERRY (AUD)
NPI
1114018447
Phone
(715) 426-0223
Address
1119 STATE ST APT 164
Enumeration Date
28 September 2006
Last Update Date
12 December 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7155316710
Graduation Year
2007 (19 years ago)
PAC ID
5092896233
Group Practice PAC ID
1850661075
Professional Enrollment ID
I20080114000841
Address ID
WI540167848HU411XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

218 QUALIFIED AUDIOLOGIST in WI

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Provider Addresses for DR. RAENA SUE DEPERRY (AUD)

  • 1119 STATE ST APT 164

    RIVER FALLS, WI 540223403

    Phone: (715) 426-0223

    Type: Mailing

  • 401, Stageline Road, Town of Hudson, Saint Croix County, Wisconsin, 54016, United States

    STE. 6

    HUDSON, WI 540167897

    Phone: (715) 531-6710

    Fax: (715) 531-6711

    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: 2009-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080114000841IQualified AudiologistWITBD
I20090921000015IQualified AudiologistMNTBD

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 test5050$0
92567Test to assess middle ear function2121$0
View full utilization report →

Insurance plans in this area (ZIP 54022)

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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: 1850661075View full group profile
NameSpecialtyState
-MN
Qualified AudiologistWI
Qualified AudiologistMN

Reviews

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Frequently asked questions

What identifier follows DR. RAENA SUE DEPERRY (AUD) across health systems?
The NPI 1114018447 uniquely identifies DR. RAENA SUE DEPERRY (AUD) in U.S. healthcare data.
Is DR. RAENA SUE DEPERRY (AUD)'s NPI status active today?
Active status means DR. RAENA SUE DEPERRY (AUD)'s NPI record is not deactivated in the public file.
What services align with DR. RAENA SUE DEPERRY (AUD)'s listing?
DR. RAENA SUE DEPERRY (AUD)'s public classification highlights Audiologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. RAENA SUE DEPERRY (AUD)?
DR. RAENA SUE DEPERRY (AUD) is associated with River Falls, Wisconsin in the same public data insurers reference.
Why is information missing for DR. RAENA SUE DEPERRY (AUD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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