Rachel Ackerman, AU.D., CCC-A
Individual provider Active NPI Audiologist · Jasper, IN
NPI 1053920728 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1053920728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 23002725A (IN)
- Practice address
- 721 W 13TH St Ste 222
Jasper, IN 47546-1817 - Phone
- (812) 996-0227
- Fax
- (812) 996-0142
- NPI assigned
- Jul 28, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210305000629 | IN | Practitioner - Qualified Audiologist | 3274949862 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hearing Doctor LLC | Audiologist | Current |
Accepting new patients |
| University Otolaryngology Associates, Inc. | Current |
Accepting new patients | |
| Indiana University Health Care Associates, Inc | Current |
Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
5208 Reliable Pkwy
Chicago, IL 60686
7631 Solutions Ctr
Chicago, IL 60677
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779
355 W 16th St
Indianapolis, IN 46202
Phone (317) 963-7070
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
671 3rd Ave
Ste 2A
Jasper, IN 47546
Phone (812) 482-9444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 23002725A | IN | Yes |
Addresses
Primary practice location
721 W 13TH St Ste 222
Jasper, IN 47546-1817
Mailing address
3152 Bittersweet Dr
Jasper, IN 47546-9515
Other practice location 1
705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone (317) 944-8868
Other practice location 2
671 3rd Ave Ste 2A
Jasper, IN 47546-3653
Phone (812) 482-9444
Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.