Intermountain Hearing Centers – Audiologist, NPI 1811040140
Audiologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Intermountain Hearing Centers
8168 WY-789
Lander, WY 82520
Phone: (801) 479-3346
Fax: (801) 479-0725
Type: Location
755 W Antelope Dr
Layton, UT 840411630
Phone: (385) 383-7161
Fax: (385) 383-7113
Type: Location
1136 E Draper Pkwy
Draper, UT 840209095
Phone: (385) 274-2586
Fax: (801) 432-8101
Type: Location
1573 Dewar Dr Ste 2
Rock Springs, WY 829015933
Phone: (307) 362-8221
Fax: (833) 604-0256
Type: Location
1055 N 300 W Ste 211
Provo, UT 846043374
Phone: (801) 852-9684
Fax: (385) 476-8446
Type: Location
692 E Market Place Dr Ste 201
Spanish Fork, UT 846601480
Phone: (385) 448-0446
Fax: (385) 476-8448
Type: Location
3668 W 2150 N Fl 3
Lehi, UT 840437798
Phone: (385) 287-6070
Fax: (385) 476-8587
Type: Location
191 Overthrust Rd
Evanston, WY 829309261
Phone: (801) 479-3346
Type: Location
Adams Avenue Parkway, Laker Lane Condominium, Washington Terrace, Weber County, Utah, 84405, United States
SUITE C
OGDEN, UT 844054736
Phone: (801) 479-3346
Fax: (801) 479-0725
Type: Mailing
5349 ADAMS AVE PKWY
OGDEN, UT 844054736
Phone: (801) 479-3346
Fax: (801) 479-0725
Type: Mailing
5349 ADAMS AVE PKWY STE C
OGDEN, UT 844054736
Phone: (801) 479-0725
Fax: (801) 479-0725
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: 2015-09-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (984 days ago).
Enrollment records
2
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| O20121106000703 | O | Clinic/Group Practice | UT | TBD |
| O20150901001941 | O | Clinic/Group Practice | WY | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 82520)
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