ANE M SHULL (CCC-A) – Audiologist, NPI 1396731311
Audiologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANE M SHULL (CCC-A)
4881 SUGAR MAPLE DR
88MDG/SGPO
WRIGHT PATTERSON AFB, OH 454335546
Phone: (937) 904-8392
Type: Location
10212 CHERRY TREE TER
CENTERVILLE, OH 454589432
Phone: (937) 885-0491
Type: Mailing
750 N COMMONS DR STE 200
AURORA, IL 605048025
Phone: (630) 303-5380
Fax: (630) 303-5385
Type: Mailing
668 N MAIN ST
SPRINGBORO, OH 450669553
Phone: (513) 424-7006
Fax: (513) 785-4023
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: 2024-12-26
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 |
|---|---|---|---|---|
| I20241226002897 | I | Qualified Audiologist | OH | 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 45433)
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