Kelly Mankin Anderson, AUD
NPI 1083234710ActiveIndividual· Audiologist· Bend, OR
Audiologist (AUD) in Bend, Oregon, licensed in OR, with an NPI issued in April 2020. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1083234710 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD |
| Sole proprietor | Yes |
| NPI issued | Apr 22, 2020 |
| Last updated in NPPES | Oct 16, 2024 |
| Certified by provider | Oct 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 030899 | OR |
| Audiologist-Hearing Aid Fitter | 237600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (OR) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Qualified Audiologist |
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