ROSANNE PRINCE (AU.D., CCC/A) – Audiologist-Hearing Aid Fitter, NPI 1093996449

ROSANNE PRINCE (AU.D., CCC/A) is a healthcare provider. based in Jackson, Wyoming. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D., CCC/A. They hold a License No. A-990 (WY). The NPI Number for ROSANNE PRINCE (AU.D., CCC/A) is 1093996449

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
ROSANNE PRINCE (AU.D., CCC/A)
NPI
1093996449
Phone
(307) 739-7665
Address
PO BOX 428
Enumeration Date
14 November 2007
Last Update Date
17 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3077337222
Graduation Year
2010 (16 years ago)
PAC ID
2567634728
Group Practice PAC ID
4880582295
Professional Enrollment ID
I20111012000119
Address ID
WY830018640JA555XXAVEX404

Contacts

Secure Messaging
rrprince@sjmc.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

23 QUALIFIED AUDIOLOGIST in WY

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Provider Addresses for ROSANNE PRINCE (AU.D., CCC/A)

  • 428, Works Road, Jackson, Waldo County, Maine, United States

    JACKSON, WY 830010428

    Phone: (307) 739-7665

    Fax: (307) 739-4940

    Type: Mailing

  • 229, East Broadway Avenue, Jackson, Teton County, Wyoming, 83001, United States

    JACKSON, WY 83001

    Phone: (307) 739-7665

    Fax: (307) 739-4940

    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: 2011-10-12

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111012000119IQualified AudiologistWYTBD

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 test311311$0
92567Test to assess middle ear function9797$0
92552Test for hearing various pitches using earphone1414$0
92556Test for ability to detect and repeat spoken words with speech recognition1212$0
View full utilization report →

Insurance plans in this area (ZIP 83001)

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Provider's Procedures

ROSANNE PRINCE (AU.D., CCC/A) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTWY92567Eardrum testing using ear probe104104

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: 4880582295View full group profile
NameSpecialtyState
Emergency MedicineWY
-WY
-WY
Physician AssistantWY
-WY
Certified Registered Nurse Anesthetist (Crna)WY
General SurgeryWY
Physician AssistantUT
General SurgeryID
Family PracticeWY

Reviews

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Frequently asked questions

Is ROSANNE PRINCE (AU.D., CCC/A) listed with a National Provider Identifier?
Yes — ROSANNE PRINCE (AU.D., CCC/A) has NPI 1093996449 on file in the registry.
Active or inactive — what applies to ROSANNE PRINCE (AU.D., CCC/A)?
You should see ROSANNE PRINCE (AU.D., CCC/A) as active in CMS-hosted NPPES data.
What kind of doctor is ROSANNE PRINCE (AU.D., CCC/A)?
ROSANNE PRINCE (AU.D., CCC/A) is associated with Audiologist-Hearing Aid Fitter in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ROSANNE PRINCE (AU.D., CCC/A)?
Directory geography for ROSANNE PRINCE (AU.D., CCC/A) centers on Jackson, Wyoming.
Can I trust this NPI listing for ROSANNE PRINCE (AU.D., CCC/A)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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