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SAMANTHA R GLICKEN AUD
NPI 1891501573
Audiologist in Boston, MA

Active since December 06, 2024
243 CHARLES ST, BOSTON, MA 02114(617) 807-7844 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 30, 2026, Dec 13, 2024, Dec 6, 2024 (3 updates tracked since 2024).

About Samantha R Glicken Aud NPPES

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

SAMANTHA R GLICKEN AUD (NPI 1891501573) is an individual audiologist in Boston, Massachusetts, licensed in Massachusetts (AUD100254) and active in the NPI registry since December 2024. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1891501573
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameSAMANTHA R GLICKENCredential: AUD
Location Address243 CHARLES STBoston, MA 02114-3002
Mailing Address243 Charles StBoston, MA 02114-3002 · (617) 807-7844
Phone(617) 807-7844
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 6, 2024
Last NPPES UpdateApril 30, 20263 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1891501573 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 MA · AUD100254
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.
243 CHARLES ST, Boston, MA 02114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha R Glicken Aud is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921534975
PECOS Enrollment IDI20260508000796

Medicare Billing Reassignments

2

Medicare enrollment records show Samantha Glicken reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Massachusetts Eye And Ear Infirmary
Same address
General Acute Care Hospital
243 CHARLES ST
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 54 clinicians in this Medicare group
NPI 1639101751 (617) 573-3089
Dupage Medical Group Ltd
870 mi
Multi-Specialty
1100 W 31ST ST, STE 300
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 1,061 clinicians in this Medicare group
NPI 1801833983 (630) 469-9200

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 20

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

CARLA PETERSEN AU.D., CCC-A
Audiologist
243 CHARLES ST, AUDIOLOGY DEPARTMENT
BOSTON, MA 02114
Suffolk County (617) 573-3266
DR. SULEMAN IMRAN KHAN MD
Ophthalmology
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-4443
DR. RYAN CARLSON MD PHD
Student in an Organized Health Care Education/Training Program
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 523-7900
MASSACHUSETTS EYE AND EAR INFIRMARY
Eyewear Supplier
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3182
DANIEL ROBERT LEFEBVRE M.D.
Ophthalmology
243 CHARLES ST, 10TH FLOOR -- OPHTHALMIC PLASTIC SURGERY
BOSTON, MA 02114
Suffolk County (617) 523-7900
ELLIOTT D. KOZIN MD
Otolaryngology
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-6545
DR. LUCIA K SOMBERG MD, MPH
Emergency Medicine
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3431
MS. JANET ENGLISH HUETTIG LICSW
Social Worker (Clinical)
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3548

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 Samantha Glicken's NPI number?

The NPI number for Samantha Glicken is 1891501573. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Where is Samantha Glicken located?

Samantha Glicken practices at 243 Charles St, Boston, MA 02114. The listed phone number is (617) 807-7844.

What is Samantha Glicken's specialty?

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

Is Samantha Glicken enrolled in Medicare?

Yes. Samantha Glicken is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samantha Glicken's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Glicken reassigns Medicare benefits to 2 organizations: Massachusetts Eye And Ear Infirmary (Boston, MA) and Dupage Medical Group Ltd (Downers Grove, IL). 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 Samantha Glicken'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 Samantha Glicken was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.