Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Jaclyn Marie Sommerville, AUD, CCC-A

Individual provider Audiologist · NPI 1790936904

Jaclyn Marie Sommerville, AUD, CCC-A is a Qualified Audiologist in Saint Clair Shores, Michigan. Qualified in 2008, 18 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
18
Licensed in
MI
In the registry since
2008
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.
CCC-A — Certificate of Clinical Competence in Audiology
An audiologist certified by ASHA.

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Practice location Address checks out

23233 Nine Mack Dr
Saint Clair Shores, MI 48080-1969 Not confirmed with CMS for 10 years — call before visiting
Phone: (586) 498-5000
Fax: (844) 273-2104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 1601000502 (MI)

Record details

NPI number1790936904
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD , CCC-A
Sole proprietorNo
NPI enumeratedOctober 7, 2008
Last updated in NPPESNovember 24, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients25
Services billed 42 a service is one billed item, such as a visit, a test or a procedure
Average patient age78

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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