MALLORY NICHOLE HUMPHREY AUD
NPI 1881269074
Audiologist in Saint Clair Shores, MI
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
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Mallory Humphrey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Clair Shores, MI 48081
- Reassigned Medicare billing, Michigan enrollment
- 520 clinicians in this Medicare group
Shelby Township, MI 48317
- Reassigned Medicare billing, Michigan 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.
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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
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.
Which organizations bill Medicare for Mallory Humphrey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Humphrey reassigns Medicare benefits to 2 organizations: Henry Ford Health St. John Hospital (Saint Clair Shores, MI) and Hearing Care Center Inc (Shelby Township, MI). Each 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 Mallory Humphrey'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 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.
# Mallory Nichole Humphrey, AUD · NPI 1881269074
Audiologist provider in Saint Clair Shores, Michigan. Individual provider, active in the CMS NPPES registry since May 21, 2021.
## Identity
- **NPI:** 1881269074 (Entity type: Individual)
- **Enumerated:** May 21, 2021
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** 1601001020 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 21000 E 12 MILE RD STE 111, Saint Clair Shores, MI 48081-1156
- **Phone:** (586) 779-7610
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Henry Ford Health St. John Hospital (NPI 1376820605, Saint Clair Shores, MI); Hearing Care Center Inc (NPI 1639615842, Shelby Township, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1881269074) · Data from the CMS NPPES public registry.