Active NPI
Mary Grace Schroeder, AUD
- Audiologist
- Mount Carmel, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147.002062
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 147.002062 | IL | MD | Audiologist |
| 23002853A | IN | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wabash General Hospital District | Current | Accepting new patients | |
| Wabash General Hospital District | Current | Accepting new patients | |
| Wabash General Hospital District | Current | Accepting new patients | |
| Wabash General Hospital District | Current | Accepting new patients | |
| Otolaryngology Associates, LLC | Current | 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
- 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.
-
- Critical Access Hospital
- Mount Carmel, IL
- NPI 1194728808
-
- General Practice Physician
- Mount Carmel, IL
- NPI 1295834208
-
- Otolaryngology Physician
- Indianapolis, IN
- NPI 1447398839
-
- Ambulance
- Mount Carmel, IL
- NPI 1194814178
-
- Federally Qualified Health Center (FQHC)
- Mount Carmel, IL
- NPI 1922645910
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.