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YARMOUTH AUDIOLOGY
NPI 1194077602
Audiologist-Hearing Aid Fitter in Yarmouth, ME

Active since October 08, 2012
163 MAIN ST, YARMOUTH, ME 04096(207) 846-1380(207) 846-9701 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Yarmouth Audiology NPPES

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

YARMOUTH AUDIOLOGY (NPI 1194077602) is a healthcare organization registered as an audiologist-hearing aid fitter in Yarmouth, Maine and active in the NPI registry since October 2012. The organization lists Kristie A Iacuessa, Owner, Audiologist, as its authorized official.

NPPES Registry Identity

NPI1194077602
Entity TypeOrganization
Primary Taxonomy237600000X
Legal Business NameGREATER PORTLAND HEARING PC
Location Address163 MAIN STYarmouth, ME 04096-6720
Mailing Address163 Main StYarmouth, ME 04096-6720 · (207) 846-1380 · Fax (207) 846-9701
Phone(207) 846-1380
Fax(207) 846-9701
Organization SubpartNo
Authorized OfficialKristie A IacuessaOwner, Audiologist · (207) 846-1380
Enumeration DateOctober 8, 2012
✔ NPI 1194077602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologist-Hearing Aid FitterSpeech, Language and Hearing Service Providers
Taxonomy Code237600000X
License✔ Licensed in ME · AP1251
Definition
An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists.
163 MAIN ST, Yarmouth, ME 04096
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Other Names 1

Doing Business AsYarmouth Audiology

Other Identifiers 3

Other1063586907ME · Npi
Medicaid274460099ME
Medicare PIN038464ME

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yarmouth Audiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMaineEnrollment IDO20130306000143Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Yarmouth Audiology, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kristie Iacuessa, AU.D.
Qualified Audiologist
NPI 1063586907
163 MAIN ST
Yarmouth, ME 04096
(207) 846-1380
Same address
Krista Riccioni, MA
Qualified Audiologist
NPI 1467019893
44 ELM ST
Topsham, ME 04086
(207) 449-3809
14 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 Greater Portland Hearing PC's NPI number?

The NPI number for Greater Portland Hearing PC is 1194077602. It was assigned to this organization in the NPPES registry on October 8, 2012. The provider is doing business as Yarmouth Audiology.

Where is Greater Portland Hearing PC located?

Greater Portland Hearing PC is located at 163 Main St, Yarmouth, ME 04096. The listed phone number is (207) 846-1380.

What is Greater Portland Hearing PC's specialty?

The primary specialty registered for this NPI is Audiologist-Hearing Aid Fitter with taxonomy code 237600000X.

Is Greater Portland Hearing PC enrolled in Medicare?

Yes. Greater Portland Hearing PC is registered in the Medicare PECOS enrollment system.

When is Greater Portland Hearing PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maine, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Greater Portland Hearing PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Qualified Audiologist, reassign their Medicare billing to Greater Portland Hearing PC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Greater Portland Hearing PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Greater Portland Hearing PC 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 Greater Portland Hearing PC was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.