JENELLE HELENE EZCURRA SANDY AUD
NPI 1548548357
Audiologist in South Lake Tahoe, CA
About Jenelle Helene Ezcurra Sandy Aud NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENELLE HELENE EZCURRA SANDY AUD (NPI 1548548357) is an individual audiologist in South Lake Tahoe, California, licensed in California (AU3526) and active in the NPI registry since July 2011. She is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
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
Jenelle Helene Ezcurra Sandy 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 Reassignment
Medicare enrollment records show Jenelle Sandy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Lake Tahoe, CA 96150
- Reassigned Medicare billing, California enrollment
- 2 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 96150 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH LAKE TAHOE, CA 96150
SOUTH LAKE TAHOE, CA 96150
SOUTH LAKE TAHOE, CA 96150
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 Jenelle Sandy's NPI number?
The NPI number for Jenelle Sandy is 1548548357. It was assigned to this individual provider in the NPPES registry on July 27, 2011.
Where is Jenelle Sandy located?
Jenelle Sandy practices at 2074 Lake Tahoe Blvd, South Lake Tahoe, CA 96150. The listed phone number is (530) 318-4010.
What is Jenelle Sandy's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Jenelle Sandy enrolled in Medicare?
Yes. Jenelle Sandy 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 organization bills Medicare for Jenelle Sandy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenelle Sandy reassigns Medicare benefits to Tahoe Family Hearing Clinic, PC (South Lake Tahoe, CA). 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 Jenelle Sandy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jenelle Sandy was last updated on March 22, 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.
# Jenelle Helene Ezcurra Sandy, AUD · NPI 1548548357
Audiologist provider in South Lake Tahoe, California. Individual provider, active in the CMS NPPES registry since July 27, 2011.
## Identity
- **NPI:** 1548548357 (Entity type: Individual)
- **Enumerated:** July 27, 2011
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** AU3526 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2074 LAKE TAHOE BLVD, South Lake Tahoe, CA 96150-6407
- **Phone:** (530) 318-4010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Tahoe Family Hearing Clinic, PC (NPI 1306595715, South Lake Tahoe, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** March 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1548548357) · Data from the CMS NPPES public registry.