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

Dr. Raena Sue Deperry, AUD

Individual provider Audiologist · NPI 1114018447

Dr. Raena Sue Deperry, AUD is a Qualified Audiologist in Hudson, Wisconsin. Qualified in 2007, 19 years ago. Practices with JKA5 Hudson Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Micronesia and Wisconsin.

Years since qualifying
19
Licensed in
FM, WI
In the registry since
2006
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

401 Stageline Rd Ste 6
Hudson, WI 54016-7897
Phone: (715) 531-6710
Fax: (715) 531-6711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 515-156 (WI)
Audiologist Taxonomy 231H00000X · Licence 8072 (FM)

Record details

NPI number1114018447
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESDecember 12, 2007

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Jka5 Hudson Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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