Jaclyn Marie Sommerville, AU.D, CCC-A
NPI 1790936904ActiveIndividual· Audiologist· Saint Clair Shores, MI
Audiologist (AU.D, CCC-A) in Saint Clair Shores, Michigan, licensed in MI, with an NPI issued in October 2008. Medicare paid $852.75 for services to 25 patients in 2024.
Overview
| NPI | 1790936904 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AU.D, CCC-A |
| Sole proprietor | No |
| NPI issued | Oct 7, 2008 |
| Last updated in NPPES | Nov 24, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 1601000502 | MI |
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 (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 25 |
|---|---|
| Services billed | 42 across 2 procedure codes |
| Paid by Medicare | $852.75 |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Qualified Audiologist |
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