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MALLORY NICHOLE HUMPHREY AUD
NPI 1881269074
Audiologist in Saint Clair Shores, MI

Active since May 21, 2021Accepts Medicare Assignment
21000 E 12 MILE RD STE 111, SAINT CLAIR SHORES, MI 48081(586) 779-7610 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2022, Jun 16, 2021, Jun 8, 2021 and 1 more (4 updates tracked since 2021).

About Mallory Nichole Humphrey Aud NPPES

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

MALLORY NICHOLE HUMPHREY AUD (NPI 1881269074) is an individual audiologist in Saint Clair Shores, Michigan, licensed in Michigan (1601001020) and active in the NPI registry since May 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1881269074
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameMALLORY NICHOLE HUMPHREYCredential: AUD
Location Address21000 E 12 MILE RD STE 111Saint Clair Shores, MI 48081-1156
Mailing Address5428 Burton RdMussey, MI 48014-1111
Phone(586) 779-7610
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 21, 2021
Last NPPES UpdateJuly 15, 20224 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
✔ NPI 1881269074 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 · 1601001020
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.
21000 E 12 MILE RD STE 111, Saint Clair Shores, MI 48081
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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

Mallory Nichole Humphrey 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.

PECOS PAC ID9931509627
PECOS Enrollment IDI20210617001171

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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 17

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

DR. ANDREW BENNETT SEWELL M.D.
Otolaryngology (Plastic Surgery within the Head & Neck)
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
OLIVIA KATHERINE LANGSDORF
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
RYAN MICHAEL BENNINGER AU.D., CCC-A
Audiologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
PATRICK BEASLEY
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
ADAM CRAIG FRY
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
TAYLOR DARDEN
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (267) 403-9375
CHARLES NUDELMAN
Speech-Language Pathologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (224) 545-2641
ANNE MAYNARD
Audiologist
21000 E 12 MILE RD STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610

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 Mallory Humphrey's NPI number?

The NPI number for Mallory Humphrey is 1881269074. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Mallory Humphrey located?

Mallory Humphrey practices at 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081. The listed phone number is (586) 779-7610.

What is Mallory Humphrey's specialty?

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

Is Mallory Humphrey enrolled in Medicare?

Yes. Mallory Humphrey 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.

When was this NPI record last updated?

The NPPES record for Mallory Humphrey was last updated on July 15, 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.