Individual provider Active NPI

Marielle Elise Arnold, AU.D, CCC-A

  • Audiologist
  • Brunswick, ME
National Provider Identifier
1184401234
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AP4006 Issued in ME
Practice address
81 Medical Center Dr Ste 1150
Brunswick, ME 04011-2765
Phone
(207) 373-7418
NPI assigned
Sep 12, 2023
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AP4006 ME Primary

Addresses

Primary practice location

81 Medical Center Dr Ste 1150
Brunswick, ME 04011-2765

Mailing address

81 Medical Center Dr Ste 1150
Brunswick, ME 04011-2765
Phone (207) 373-7418

Other names 1

  • Dr. Marielle Elise Shaw Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209002946 ME Practitioner - Qualified Audiologist 4183067713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Waterville Audiology PCGroup PAC ID 9234460064, 3 clinicians
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

105 Kennedy Memorial Dr
Waterville, ME 04901-5131
Phone (207) 872-0320

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

81 Medical Ctr Dr
Brunswick, ME 04011-2765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Dec 30, 2023 Accepting new patients
Waterville Audiology PC Audiologist CurrentSince Oct 21, 2025 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth CurrentSince Dec 30, 2023 Accepting new patients

Locations

81 Medical Center Dr
Ste 1150
Brunswick, ME 04011
Phone (207) 721-0911

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

105 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 577-3310

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1184401234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR STE 1150",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112765",
            "telephone_number": "207-373-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MEDICAL CENTER DR STE 1150",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112765",
            "telephone_number": "207-373-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "MARIELLE",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "AU.D, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ME",
            "license": "AP4006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIELLE",
            "last_name": "SHAW",
            "middle_name": "ELISE",
            "prefix": "DR.",
            "credential": "AU.D, CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.