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JACLYN MARIE SOMMERVILLE AU.D, CCC-A
NPI 1790936904
Audiologist in Saint Clair Shores, MI

Active since October 07, 2008Accepts Medicare Assignment
23233 NINE MACK DR, SAINT CLAIR SHORES, MI 48080(586) 498-5000(844) 273-2104 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaclyn Marie Sommerville Au.d, Ccc-a NPPES

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

JACLYN MARIE SOMMERVILLE AU.D, CCC-A (NPI 1790936904) is an individual audiologist in Saint Clair Shores, Michigan, licensed in Michigan (1601000502) and active in the NPI registry since October 2008. She is a graduate of Other (2008).

NPPES Registry Identity

NPI1790936904
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameJACLYN MARIE SOMMERVILLECredential: AU.D, CCC-A
Location Address23233 NINE MACK DRSaint Clair Shores, MI 48080-1969
Mailing Address23233 Nine Mack DrSaint Clair Shores, MI 48080-1969 · (586) 498-5000 · Fax (844) 273-2104
Phone(586) 498-5000
Fax(844) 273-2104
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 7, 2008
Last NPPES UpdateNovember 24, 2015
✔ NPI 1790936904 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 · 1601000502
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.
23233 NINE MACK DR, Saint Clair Shores, MI 48080
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaclyn Marie Sommerville Au.d, Ccc-a 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.

PECOS PAC ID1759440514
PECOS Enrollment IDI20081107000520

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.

Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
25 services25 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$58.04 typical visit price
range $58.04 – $177.36
Typical copayment $14.51 (range $14.51 – $44.34)
Most-billed visit code 99202
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOMMERVILLE AUDIOLOGY, LLC
Audiologist
23233 NINE MACK DR
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 498-5000

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 Jaclyn Sommerville's NPI number?

The NPI number for Jaclyn Sommerville is 1790936904. It was assigned to this individual provider in the NPPES registry on October 7, 2008.

Where is Jaclyn Sommerville located?

Jaclyn Sommerville practices at 23233 Nine Mack Dr, Saint Clair Shores, MI 48080. The listed phone number is (586) 498-5000.

What is Jaclyn Sommerville's specialty?

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

Is Jaclyn Sommerville enrolled in Medicare?

Yes. Jaclyn Sommerville 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.

What insurance does Jaclyn Sommerville accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Oscar Insurance Company list Jaclyn Sommerville 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 Jaclyn Sommerville was last updated on November 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.