Cora Bailey Call

Individual provider Active NPI Audiologist · Meridian, ID

NPI 1083592018 · NPPES record last updated Aug 26, 2025

Key facts

NPI
1083592018
Entity type
Individual (NPI type 1)
Primary specialty
Audiologist 231H00000X
License
2671077 (ID)
Practice address
1209 N Summerbrook Ave Ste 100
Meridian, ID 83642-8750
Phone
(208) 938-5823
NPI assigned
Aug 26, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Ear Clinic PLLC (6 clinicians)

Practice addresses (Care Compare)

1209 N Summerbrook Ave
Suite 100
Meridian, ID 83642-8750
Phone (208) 938-5823

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ID

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250910004300 ID Practitioner - Qualified Audiologist 4385147925 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Ear Clinic, PLLC Current
since Sep 2, 2025
Accepting new patients

Locations

13900 W Wainwright Dr
Ste 102
Boise, ID 83713
Phone (208) 433-9424

1209 N Summerbrook Ave
Ste 100
Meridian, ID 83642
Phone (208) 296-6586

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2671077 ID Yes

Addresses

Primary practice location

1209 N Summerbrook Ave Ste 100
Meridian, ID 83642-8750

Mailing address

1209 N Summerbrook Ave Ste 100
Meridian, ID 83642-8750
Phone (208) 938-5823

Other providers in Meridian, ID

All providers in Meridian, ID · Audiologist in Idaho

Sources for this page

Verify at the official NPI Registry.