Individual provider Active NPI

Katelyn N Herne, AUD

  • Audiologist
  • Oshkosh, WI
National Provider Identifier
1114710563
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
515 S Washburn St Ste 200
Oshkosh, WI 54904-7975
Phone
(920) 969-1768
Fax
(920) 267-5222
NPI assigned
May 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

515 S Washburn St Ste 200
Oshkosh, WI 54904-7975

Mailing address

119 E Bell St
Neenah, WI 54956-4993
Phone (920) 969-1768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804002931 WI Practitioner - Qualified Audiologist 0840708533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Specialists of Wisconsin SCGroup PAC ID 9830086925, 28 clinicians

Practice addresses (Care Compare)

515 S Washburn St
Suite 200
Oshkosh, WI 54904-7975
Phone (920) 969-1768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Specialists of Wisconsin SC CurrentSince Jun 27, 2025 Accepting new patients

Locations

119 E Bell St
Neenah, WI 54956

855 N Westhaven Dr
#200
Oshkosh, WI 54904

515 S Washburn St
Ste 200
Oshkosh, WI 54904

515 S Washburn St
Oshkosh, WI 54904
Phone (920) 231-5900

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.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1114710563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E BELL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564993",
            "telephone_number": "920-969-1768",
            "fax_number": "920-267-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S WASHBURN ST STE 200",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047975",
            "telephone_number": "920-969-1768",
            "fax_number": "920-267-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNE",
        "first_name": "KATELYN",
        "middle_name": "N",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.