DR. RAENA SUE DEPERRY AUD
NPI 1114018447
Audiologist in Hudson, WI
About Dr. Raena Sue Deperry Aud NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAENA SUE DEPERRY AUD (NPI 1114018447) is an individual audiologist in Hudson, Wisconsin, licensed in Wisconsin (515-156) and active in the NPI registry since September 2006. She is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Raena Sue Deperry Aud is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Raena Deperry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hudson, WI 54016
- Reassigned Medicare billing, Wisconsin enrollment
- 4 clinicians in this Medicare group
Minneapolis, MN 55403
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HUDSON, WI 54016
HUDSON, WI 54016
HUDSON, WI 54016
HUDSON, WI 54016
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 Raena Deperry's NPI number?
The NPI number for Raena Deperry is 1114018447. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Raena Deperry located?
Raena Deperry practices at 401 Stageline Rd Ste. 6, Hudson, WI 54016. The listed phone number is (715) 531-6710.
What is Raena Deperry's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Raena Deperry enrolled in Medicare?
Yes. Raena Deperry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Raena Deperry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raena Deperry reassigns Medicare benefits to 2 organizations: Jka5 Hudson Inc (Hudson, WI) and Park Nicollet Clinic (Minneapolis, MN). Each 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 Raena Deperry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raena Deperry accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Raena Deperry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Raena Deperry was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Raena Sue Deperry, AUD · NPI 1114018447
Audiologist provider in Hudson, Wisconsin. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1114018447 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** 515-156 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 STAGELINE RD, STE. 6, Hudson, WI 54016-7897
- **Phone:** (715) 531-6710 · **Fax:** (715) 531-6711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Jka5 Hudson Inc (NPI 1417484239, Hudson, WI); Park Nicollet Clinic (NPI 1912315144, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** December 12, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1114018447) · Data from the CMS NPPES public registry.