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Audrey Waldo

Case Manager/Care Coordinator β€’ Jackson, MI

Active NPI 1376235713 Individual Practitioner Female Practitioner
Practice location in NPPES

1200 N West Ave
Jackson, MI 492022179

Call 5177891200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1200 N West Ave

Jackson, MI 492022179

Telephone 5177891200
Organization at the Same NPPES Address or Phone
Recovery Technology Llc Facility NPI 1144259094

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jackson and Michigan

161 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Jackson, MI (4,565 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

0% of these 161 clinicians have the CMS telehealth indicator.

0.6% of these 161 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-09
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Jessica Bemer , LLMSW

Social Worker - Clinical

NPI 1740668466

Limited Licensed Master Social Worker

Dr. Joseph Drumm , DO

Psychiatry & Neurology - Psychiatry

NPI 1619262680

Doctor of Osteopathic Medicine (D.O.)

Kendra Keranen , MA LPC

Counselor - Mental Health

NPI 1558737478

MALPC

Suzanne Kirk , BS, MS, FNP

Nurse Practitioner - Family

NPI 1669479234

Bachelor of Science, Master of Science, Family Nurse Practitioner

Michelle Norris , APRN

Psychiatry & Neurology - Psychiatry

NPI 1386903425

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location December 09, 2024

Registered at 1200 N WEST AVE, JACKSON, MI 492022179 (Tel: 5177891200)

πŸ“
Updated Business Mailing Address December 09, 2024

Registered at 1200 N WEST AVE, JACKSON, MI 492022179 (Tel: 5177964524)

βœ…
NPI Profile Active May 24, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 24, 2023

Registered at 1211 W NORTH ST, JACKSON, MI 492023132 (Tel: 5175133297)

πŸ“
Business Mailing Address (Initial Record) May 24, 2023

Registered at 2400 SCIENCE PKWY, OKEMOS, MI 488642560 (Tel: 5173748066)

πŸ‘€
Provider Name / Credentials (Initial Record) May 24, 2023

Recorded as AUDREY WALDO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2023

Behavior Technician

🟒
Initial NPI Registration & Enumeration May 24, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376235713
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2023
Last Update: December 09, 2024
Sole Proprietor: No

Mailing Address

1200 N West Ave

Jackson, MI 492022179

Phone: 5177964524

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.