Raena Sue Deperry, AUD
NPI 1114018447ActiveIndividual· Audiologist· Hudson, WI
Audiologist (AUD) with Jka5 Hudson Inc, practicing in Hudson, Wisconsin. Medicare paid $2,300 for services to 77 patients in 2024.
Overview
| NPI | 1114018447 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD |
| Sole proprietor | No |
| NPI issued | Sep 28, 2006 |
| Last updated in NPPES | Dec 12, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 515-156 | WI |
| Audiologist | 231H00000X | 8072 | FM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (MN); Practitioner - Qualified Audiologist (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 77 |
|---|---|
| Services billed | 108 across 3 procedure codes |
| Paid by Medicare | $2,300 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- Jka5 Hudson IncHudson, WI · 3 clinicians
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