KAREN ANNE DETTMAN M.S., CCC-A
NPI 1669538336
Audiologist in Roseville, CA
About Karen Anne Dettman M.s., Ccc-a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAREN ANNE DETTMAN M.S., CCC-A (NPI 1669538336) is an individual audiologist in Roseville, California, licensed in California (AU2180) and active in the NPI registry since December 2006.
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 (PECOS)
Karen Anne Dettman M.s., Ccc-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Karen Dettman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
ROSEVILLE, CA 95661
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 Karen Dettman's NPI number?
The NPI number for Karen Dettman is 1669538336. It was assigned to this individual provider in the NPPES registry on December 28, 2006.
Where is Karen Dettman located?
Karen Dettman practices at 2120 Professional Dr Ste 220, Roseville, CA 95661. The listed phone number is (916) 771-6686.
What is Karen Dettman's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Karen Dettman enrolled in Medicare?
Yes. Karen Dettman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Karen Dettman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Dettman reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Karen Dettman'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 Karen Dettman was last updated on January 3, 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.
# Karen Anne Dettman, M.S., CCC-A · NPI 1669538336
Audiologist provider in Roseville, California. Individual provider, active in the CMS NPPES registry since December 28, 2006.
## Identity
- **NPI:** 1669538336 (Entity type: Individual)
- **Enumerated:** December 28, 2006
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** AU2180 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2120 PROFESSIONAL DR STE 220, Roseville, CA 95661-3700
- **Phone:** (916) 771-6686
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1669538336) · Data from the CMS NPPES public registry.