Shannon K. Kimmel
NPI 1104090463ActiveIndividual· Audiologist· Germantown, TN
Audiologist with Mid-South Ear Nose and Throat PC, practicing in Germantown, Tennessee. Medicare paid $17,674 for services to 513 patients in 2024.
Overview
| NPI | 1104090463 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 17, 2008 |
| Last updated in NPPES | Nov 7, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | A0000001210 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 513 |
|---|---|
| Services billed | 939 across 11 procedure codes |
| Paid by Medicare | $17,674 |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- Mid-South Ear Nose and Throat PCGermantown, TN · 32 clinicians
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