Mary Jo Petras, MA CCCA FAAA

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AUDIOLOGIST HEARING Issued in WY

Practice address

721 Sheridan Ave
Suite 150 Big Horn Basin Hearing Inc
Cody, WY 82414

Phone

(307) 527-6475

Fax

(307) 527-6483

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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

• Big Horn Basin Hearing Inc

  • Audiologist-Hearing Aid Fitter
  • Cody, WY
  • NPI 1801988084
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1093807281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 TALON DRIVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "82414",
            "telephone_number": "307-587-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 SHERIDAN AVE",
            "address_2": "SUITE 150 BIG HORN BASIN HEARING INC",
            "city": "CODY",
            "state": "WY",
            "postal_code": "82414",
            "telephone_number": "307-527-6475",
            "fax_number": "307-527-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRAS",
        "first_name": "MARY JO",
        "credential": "MA CCCA FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WY",
            "license": "AUDIOLOGY A966",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WY",
            "license": "AUDIOLOGIST HEARING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1179837000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Reanna Perry, OTR
• Robert Clayton Peterman, DOM, LMT, LAC
• Scott Anthony Peterman
• Adam S Peters, MD
• Melinda Peters
• Dakota Phillips, M.S., CCC-SLP, RBT
• Kelly Phillips
• Phoenix Rising Counseling, PC
• Laura Lou Pleban, RN
• John David Poeverlein

• Audiologist-Hearing Aid Fitter in Cody, WY
• Providers in Cody, WY by specialty
• Audiologist-Hearing Aid Fitter in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.