Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kimberly Jacks, AUD

Individual provider Audiologist · NPI 1689195422

Dr. Kimberly Jacks, AUD is a Qualified Audiologist in Inver Grove Heights, Minnesota. Graduated from University of Minnesota Medical School in 2017, 9 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Georgia and Minnesota.

Years since qualifying
9
Trained at
University of Minnesota Medical School
Licensed in
GA, MN
In the registry since
2017
Specialties on file
2
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

5565 Blaine Ave Ste 225
Inver Grove Heights, MN 55076-1239
Phone: (404) 297-4230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 10161 (MN)
Audiologist Taxonomy 231H00000X · Licence AUD004099 (GA)

Record details

NPI number1689195422
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD
Sole proprietorNo
NPI enumeratedJuly 2, 2017
Last updated in NPPESJanuary 31, 2022
Certification dateJanuary 31, 2022

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2017 (9 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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