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

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 last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Aleta Prysock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Michigan Ear, Nose, Throat, And Allergy Specialists, PC
25 mi
Plastic Surgery within the Head & Neck
3100 N. WELLNESS DR
Holland, MI 49424
  • Reassigned Medicare billing, Michigan enrollment
  • 38 clinicians in this Medicare group
NPI 1780029991 (616) 994-2770

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

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.

Which organization bills Medicare for Aleta Prysock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aleta Prysock reassigns Medicare benefits to Michigan Ear, Nose, Throat, And Allergy Specialists, PC (Holland, MI). The 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 Aleta Prysock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Aleta Prysock accept?

Health plans from Blue Care Network of Michigan and Priority Health list Aleta Prysock 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 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 5 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.