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Dr. Michael Blackburn , AuD

Audiologist β€’ Saint Cloud, MN

Active NPI 1649641515 Individual Practitioner Male Practitioner
Practice location in NPPES

4801 Veterans Dr
Saint Cloud, MN 563032015

Call 3202556370 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

4801 Veterans Dr

Saint Cloud, MN 563032015

Telephone 3202556370
Fax 3202556454
Organization at the Same NPPES Address or Phone
St. Cloud Vamc Facility NPI 1235187741

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

NPI first issued

2015

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 Saint Cloud and Minnesota

20 active clinicians are listed under Audiologist with a practice address in Saint Cloud, MN (502 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Cloud

0% of these 20 clinicians have the CMS telehealth indicator.

25% of these 20 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

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

License # reported to NPPES IL 147001579

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.

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: Minnesota Board of Medical Practice.
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.

1 listed
NPI 1538477161

Doctor of Optometry

Career & Practice History Timeline

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

11 Historical Events
βœ…
NPI Profile Active February 27, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 27, 2017

Registered at 4801 VETERANS DR, SAINT CLOUD, MN 563032015 (Tel: 3202556370)

πŸ“
Updated Business Mailing Address February 27, 2017

Registered at 4801 VETERANS DR, SAINT CLOUD, MN 563032015 (Tel: 3202556370)

πŸ‘€
Provider Name / Credentials Updated February 27, 2017

Recorded as MICHAEL BLACKBURN, AU.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2017

Audiologist (license number reported to NPPES: IL 147001579)

βœ…
NPI Profile Active January 11, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 11, 2016

Registered at 200 E PENNSYLVANIA AVE, PEORIA, IL 616033089 (Tel: 3096244000)

πŸ“
Business Mailing Address (Initial Record) January 11, 2016

Registered at 200 E PENNSYLVANIA AVE, PEORIA, IL 616033089 (Tel: 3096244000)

πŸ‘€
Provider Name / Credentials (Initial Record) January 11, 2016

Recorded as MICHAEL BLACKBURN, AU.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2016

Audiologist (license number reported to NPPES: IL 147001579)

🟒
Initial NPI Registration & Enumeration October 16, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649641515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2015
Last Update: February 27, 2017
Sole Proprietor: No

Other Audiologists in Saint Cloud

All Audiologists in Saint Cloud

Mailing Address

4801 Veterans Dr

Saint Cloud, MN 563032015

Phone: 3202556370

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.