Great Lakes Provider Network, LLC
NPI 1649710823ActiveOrganization· Audiologist· Clinton Township, MI
Audiologist in Clinton Township, Michigan, registered in NPPES in March 2017, part of Audionet America Holdings Inc. The authorized official on file is Colleen Shefferly, President.
Overview
| NPI | 1649710823 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Audionet America Holdings Inc |
| NPI issued | Mar 7, 2017 |
| Last updated in NPPES | Mar 7, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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