SPOON RIVER HEARING SERVICES INC
NPI 1003030115
Audiologist in Canton, IL

Active since April 12, 2007
180 S MAIN ST, CANTON, IL 61520(309) 647-0201(309) 649-8950 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Spoon River Hearing Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPOON RIVER HEARING SERVICES INC (NPI 1003030115) is a healthcare organization registered as an audiologist in Canton, Illinois and active in the NPI registry since April 2007. The organization lists Sandi Greene Deford, Audiologist, as its authorized official.

NPPES Registry Identity

NPI1003030115
Entity TypeOrganization
Primary Taxonomy231H00000X
Legal Business NameSPOON RIVER HEARING SERVICES INC
Location Address180 S MAIN STCanton, IL 61520-2608
Mailing Address811 W Avenue HLewistown, IL 61542-8363 · (309) 647-0201 · Fax (309) 649-8950
Fax(309) 649-8950
Organization SubpartNo
Authorized OfficialSandi Greene DefordAudiologist · (309) 647-0201
Enumeration DateApril 12, 2007
Last NPPES UpdateAugust 7, 2014
✔ NPI 1003030115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in IL · 147000582
Definition
(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.
180 S MAIN ST, Canton, IL 61520

Other Identifiers 2

Medicare ID-Type Unspecified212492
Medicaid35672291302IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spoon River Hearing Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Spoon River Hearing Services Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Qualified Audiologist
NPI 1689704660
175 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ Accepts Medicare7.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spoon River Hearing Services Inc's NPI number?

The NPI number for Spoon River Hearing Services Inc is 1003030115. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Spoon River Hearing Services Inc located?

Spoon River Hearing Services Inc is located at 180 S Main St, Canton, IL 61520. The listed phone number is (309) 647-0201.

What is Spoon River Hearing Services Inc's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Spoon River Hearing Services Inc enrolled in Medicare?

Yes. Spoon River Hearing Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spoon River Hearing Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Audiologist) reassigns their Medicare billing to Spoon River Hearing Services Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spoon River Hearing Services Inc was last updated on August 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.