STACEY D DIMOND (AUD) – Audiologist, NPI 1861725418

STACEY D DIMOND (AUD) is a healthcare provider. based in Neenah, Wisconsin. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 8548 (MN). The NPI Number for STACEY D DIMOND (AUD) is 1861725418

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
STACEY D DIMOND (AUD)
NPI
1861725418
Phone
(651) 285-2205
Address
1960 OAKVIEW DR
Enumeration Date
15 September 2009
Last Update Date
20 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528314222
Graduation Year
2009 (17 years ago)
PAC ID
5496897209
Group Practice PAC ID
9830469766
Professional Enrollment ID
I20100116000076
Address ID
MN554354506ED7380XSXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

218 QUALIFIED AUDIOLOGIST in WI

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Provider Addresses for STACEY D DIMOND (AUD)

  • 1960 OAKVIEW DR

    NEENAH, WI 549561744

    Phone: (651) 285-2205

    Type: Mailing

  • 1440, Oneida Street, Appleton, Outagamie County, Wisconsin, 54911, United States

    N

    APPLETON, WI 549157101

    Phone: (920) 731-9579

    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: 2010-01-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100116000076IQualified 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 test1717$0
View full utilization report →

Insurance plans in this area (ZIP 54956)

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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: 9830469766View full group profile
NameSpecialtyState
-MN
-MN
Qualified AudiologistMN
Qualified AudiologistMN
-MN
Qualified AudiologistMN
Qualified AudiologistMN
Qualified AudiologistTX
Qualified AudiologistWI
Qualified AudiologistMN

Reviews

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Frequently asked questions

What unique ID ties claims to STACEY D DIMOND (AUD)?
NPI 1861725418 is assigned to STACEY D DIMOND (AUD) under the national enumeration system.
Is STACEY D DIMOND (AUD)'s NPI currently valid?
The extract we use shows STACEY D DIMOND (AUD) as active.
Does STACEY D DIMOND (AUD) list a primary specialty?
If you are matching referrals, note Audiologist for STACEY D DIMOND (AUD). Clinical services aligned with this taxonomy classification.
What location shows for STACEY D DIMOND (AUD)?
We surface Neenah, Wisconsin for STACEY D DIMOND (AUD) based on available NPPES addresses.
What if Neenah, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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