Individual provider Active NPI

Nicole Stockstill, M.S., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Baton Rouge, LA
National Provider Identifier
1013194364
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
4389A Issued in LA
Practice address
7784 Innovation Park Dr
Baton Rouge, LA 70820-7006
Phone
(225) 343-4232
Fax
(225) 343-4233
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 4389A LA Primary

Addresses

Primary practice location

7784 Innovation Park Dr
Baton Rouge, LA 70820-7006

Mailing address

36298 E Pine Grove CT
Prairieville, LA 70769-3466
Phone (225) 288-0079

Other identifiers 1

IdentifierTypeStateIssuer
12202657OtherLACAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100610000078 LA Practitioner - Qualified Audiologist 1759410574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge Speech and Hearing Foundation, IncGroup PAC ID 1153450838, 2 clinicians

Practice addresses (Care Compare)

7784 Innovation Park Dr
Baton Rouge, LA 70820-7006
Phone (225) 343-4232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4389LAMDDentist
4389ALAMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Speech and Hearing Foundation, Inc Audiologist-Hearing Aid Fitter CurrentSince Aug 1, 2013 Accepting new patients
Audiology Group, LLC PastSince Mar 30, 2010 Accepting new patients

Locations

7784 Innovation Park Dr
Baton Rouge, LA 70820
Phone (225) 343-4232

535 W Roosevelt St
Baton Rouge, LA 70802
Phone (225) 343-4232

Networks

  • TX HMO
  • MS PPO D-SNP
  • MS PPO C-SNP
  • MS PPO
  • TX HMO D-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1013194364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36298 E PINE GROVE CT",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693466",
            "telephone_number": "225-288-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7784 INNOVATION PARK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708207006",
            "telephone_number": "225-343-4232",
            "fax_number": "225-343-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKSTILL",
        "first_name": "NICOLE",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "LA",
            "license": "4389A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12202657",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.