Aleta Xiaotan Prysock, AUD
NPI 1154251122ActiveIndividual· Audiologist· Grand Rapids, MI
Audiologist (AUD) in Grand Rapids, Michigan, licensed in MI, with an NPI issued in May 2026. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1154251122 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AUD |
| Sole proprietor | No |
| NPI issued | May 21, 2026 |
| Last updated in NPPES | May 21, 2026 |
| Certified by provider | May 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 1601001244 | MI |
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 (MI) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Qualified Audiologist |
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