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DR. ALISSA LAUREN NICKERSON AUD
NPI 1912423799
Audiologist in Phoenix, AZ

Active since August 14, 2017
1920 E CAMBRIDGE AVE STE 201, PHOENIX, AZ 85006(602) 933-3277(602) 933-4326 Get Directions Write a Review

NPPES record last updated: April 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 26, 2018, Apr 18, 2018, Mar 27, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Alissa Lauren Nickerson Aud NPPES

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

DR. ALISSA LAUREN NICKERSON AUD (NPI 1912423799) is an individual audiologist in Phoenix, Arizona, licensed in Arizona (DA10810) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1912423799
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameDR. ALISSA LAUREN NICKERSONCredential: AUD
Location Address1920 E CAMBRIDGE AVE STE 201Phoenix, AZ 85006-1462
Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814
Phone(602) 933-3277
Fax(602) 933-4326
Sole ProprietorNo
Enumeration DateAugust 14, 2017
Last NPPES UpdateApril 26, 20184 updates tracked since enumeration
✔ NPI 1912423799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Licenses✔ Licensed in AZ · DA10810✔ Licensed in IL · 147-001637
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.
1920 E CAMBRIDGE AVE STE 201, Phoenix, AZ 85006
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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)

Dr. Alissa Lauren Nickerson Aud is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Alissa Nickerson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Children's Hospital
0.1 mi
Pediatrics
1919 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 1,416 clinicians in this Medicare group
NPI 1922112044 (602) 933-1000

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.

AUSTIN N DEHART MD
Otolaryngology (Pediatric Otolaryngology)
1920 E CAMBRIDGE AVE STE 201
PHOENIX, AZ 85006
Maricopa County (602) 933-3277
LAUREN F LOEFFLER MD
Pediatrics (Pediatric Nephrology)
1920 E CAMBRIDGE AVE STE 201
PHOENIX, AZ 85006
Maricopa County (602) 933-0965
MRS. FRANCINE MARY TVRDY AUD, CCC-A
Audiologist
1920 E CAMBRIDGE AVE STE 201
PHOENIX, AZ 85006
Maricopa County (602) 933-3277
MRS. MIRANDA MAUREEN CLEMENTS M.S., CCC-SLP
Speech-Language Pathologist
1920 E CAMBRIDGE AVE STE 201
PHOENIX, AZ 85006
Maricopa County (602) 933-3277
DR. DAVINDER J SINGH M.D.
Plastic Surgery
1920 E CAMBRIDGE AVE STE 201
PHOENIX, AZ 85006
Maricopa County (602) 933-0500
NICOLE MARIE KURNIK MD
Plastic Surgery
1920 E CAMBRIDGE AVE STE 201
PHOENIX, AZ 85006
Maricopa County (602) 933-0500
SHAGUN KAUR
Medical Genetics (Medical Biochemical Genetics)
1920 E CAMBRIDGE AVE STE 201
PHOENIX, AZ 85006
Maricopa County (602) 933-0500
TREY WATMORE PA-C
Physician Assistant
1920 E CAMBRIDGE AVE STE 201
PHOENIX, AZ 85006
Maricopa County (602) 933-0500

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 Alissa Nickerson's NPI number?

The NPI number for Alissa Nickerson is 1912423799. It was assigned to this individual provider in the NPPES registry on August 14, 2017.

Where is Alissa Nickerson located?

Alissa Nickerson practices at 1920 E Cambridge Ave Ste 201, Phoenix, AZ 85006. The listed phone number is (602) 933-3277.

What is Alissa Nickerson's specialty?

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

Is Alissa Nickerson enrolled in Medicare?

Yes. Alissa Nickerson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alissa Nickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alissa Nickerson reassigns Medicare benefits to Phoenix Children's Hospital (Phoenix, AZ). 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 Alissa Nickerson'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 Alissa Nickerson was last updated on April 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.