Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ALETA XIAOTAN PRYSOCK AUD
NPI 1154251122
Audiologist in Grand Rapids, MI

Q: What is Aleta Prysock's NPI number?

The NPI number for Aleta Prysock is 1154251122. It was assigned to this individual provider in the NPPES registry on May 21, 2026.

Q: What is Aleta Prysock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Aleta Prysock was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since May 21, 2026

1425 MICHIGAN ST NE STE A, GRAND RAPIDS, MI 49503(616) 459-4514(616) 459-5001 Get Directions Write a Review

NPPES record added: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Aleta Xiaotan Prysock Aud NPPES

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

ALETA XIAOTAN PRYSOCK AUD (NPI 1154251122) is an individual audiologist in Grand Rapids, Michigan, licensed in Michigan (1601001244) and active in the NPI registry since May 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1154251122

Entity TypeIndividualFemale

Primary Taxonomy231H00000X

Provider Legal NameALETA XIAOTAN PRYSOCKCredential: AUD

Location Address1425 MICHIGAN ST NE STE AGrand Rapids, MI 49503-2027

Mailing Address1425 Michigan St Ne Ste AGrand Rapids, MI 49503-2027 · (616) 459-4514 · Fax (616) 459-5001

Phone(616) 459-4514

Fax(616) 459-5001

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateMay 21, 2026

NPPES CertifiedMay 21, 2026

✔ NPI 1154251122 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 MI · 1601001244

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.

1425 MICHIGAN ST NE STE A, Grand Rapids, MI 49503

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aleta Xiaotan Prysock Aud is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991276198

PECOS Enrollment IDI20260609001665

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY RONAN

Audiologist

1425 MICHIGAN ST NE STE A
GRAND RAPIDS, MI 49503

Kent County (616) 888-3240

NORA ANNE LIGNELL M.A,, CCC-A

Audiologist-Hearing Aid Fitter

1425 MICHIGAN ST NE STE A
GRAND RAPIDS, MI 49503

Kent County (616) 459-4514

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 Aleta Prysock's NPI number?

The NPI number for Aleta Prysock is 1154251122. It was assigned to this individual provider in the NPPES registry on May 21, 2026.

Where is Aleta Prysock located?

Aleta Prysock practices at 1425 Michigan St NE Ste A, Grand Rapids, MI 49503. The listed phone number is (616) 459-4514.

What is Aleta Prysock's specialty?

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

Is Aleta Prysock enrolled in Medicare?

Yes. Aleta Prysock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Aleta Prysock was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.