Individual provider Active NPI

Mary Grace Schroeder, AUD

  • Audiologist
  • Mount Carmel, IL
National Provider Identifier
1043057128
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.002062 Issued in IL
Practice address
1418 College Dr
Mount Carmel, IL 62863-2638
Phone
(618) 262-8621
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147.002062 IL Primary
Audiologist 231H00000X 23002853A IN

Addresses

Primary practice location

1418 College Dr
Mount Carmel, IL 62863-2638

Mailing address

11A Skiles Dr
Mount Carmel, IL 62863-2816
Phone (618) 240-4654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250618002772 IN Practitioner - Qualified Audiologist 0446761183 Reassigns benefits to 1 organization
I20251009002570 IL Practitioner - Qualified Audiologist 0446761183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1418 College Dr
Mount Carmel, IL 62863-2638

75 Remittance Dr
Dept 6215
Chicago, IL 60675-1001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147.002062ILMDAudiologist
23002853AINMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash General Hospital District CurrentSince Sep 1, 2025 Accepting new patients
Wabash General Hospital District CurrentSince Sep 1, 2025 Accepting new patients
Wabash General Hospital District Current Accepting new patients
Wabash General Hospital District CurrentSince Sep 1, 2025 Accepting new patients
Otolaryngology Associates, LLC CurrentSince Apr 15, 2025 Accepting new patients

Locations

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

10201 N Illinois St
Ste 110
Carmel, IN 46290
Phone (317) 819-2825

12065 Old Meridian St
Ste 205
Carmel, IN 46032
Phone (317) 844-5656

13100 E 136th St
Ste 1200
Fishers, IN 46037
Phone (317) 573-4370

5255 E Stop 11 Rd
Ste 400
Indianapolis, IN 46237
Phone (317) 528-6640

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEADA

Organizations & group practices 5

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1043057128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11A SKILES DR",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632816",
            "telephone_number": "618-240-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 COLLEGE DR",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632638",
            "telephone_number": "618-262-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.002062",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002853A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Carmel, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.