1. Home
  2. Directory
  3. Wisconsin
  4. Hudson
  5. Audiologist
  6. NPI Profile

AMDAHL HEARING
NPI 1417484239
Audiologist in Hudson, WI

Active since May 11, 2017
411 STAGELINE RD # 290, HUDSON, WI 54016(715) 531-6710 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jun 28, 2017, May 11, 2017 (3 updates tracked since 2017).

About Amdahl Hearing NPPES

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

AMDAHL HEARING (NPI 1417484239) is a healthcare organization registered as an audiologist in Hudson, Wisconsin and active in the NPI registry since May 2017. The organization lists Kevin Amdahl, Owner, as its authorized official.

NPPES Registry Identity

NPI1417484239
Entity TypeOrganization
Primary Taxonomy231H00000X
Legal Business NameJKA5 HUDSON INC
Location Address411 STAGELINE RD # 290Hudson, WI 54016-7848
Mailing Address2848 2nd St S, Suite 185Saint Cloud, MN 56301-4594 · (320) 252-0094
Phone(715) 531-6710
Organization SubpartNo
Authorized OfficialKevin AmdahlOwner · (320) 252-0094
Enumeration DateMay 11, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1417484239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
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.
411 STAGELINE RD # 290, Hudson, WI 54016
Open in Google Maps ↗

Other Names 1

Doing Business AsAmdahl Hearing

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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Amdahl Hearing, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Ryan Schwantes, AUD
Qualified Audiologist
NPI 1720874928
411 STAGELINE RD
Hudson, WI 54016
(913) 563-5478
✔ Accepts MedicareSame address
Raena Deperry, AUD
Qualified Audiologist
NPI 1114018447
401 STAGELINE RD STE. 6
Hudson, WI 54016
(715) 531-6710
✔ Accepts MedicareSame address
Daniel Dibenedetto
Qualified Audiologist
NPI 1326778416
1687 E DIVISION ST
River Falls, WI 54022
(715) 307-6432
✔ Accepts Medicare8.8 mi
Kevin Amdahl, MA
Qualified Audiologist
NPI 1972624286
2848 2ND ST S STE 185
Saint Cloud, MN 56301
(320) 252-0094
✔ Accepts Medicare83 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 Jka5 Hudson Inc's NPI number?

The NPI number for Jka5 Hudson Inc is 1417484239. It was assigned to this organization in the NPPES registry on May 11, 2017. The provider is doing business as Amdahl Hearing.

Where is Jka5 Hudson Inc located?

Jka5 Hudson Inc is located at 411 Stageline Rd # 290, Hudson, WI 54016. The listed phone number is (715) 531-6710.

What is Jka5 Hudson Inc's specialty?

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

Is Jka5 Hudson Inc enrolled in Medicare?

Yes. Jka5 Hudson Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jka5 Hudson Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Qualified Audiologist, reassign their Medicare billing to Jka5 Hudson 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jka5 Hudson Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.