Individual provider Active NPI

Christy Mahrt, AU.D.

  • Audiologist
  • Rolla, MO
National Provider Identifier
1245471150
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001851 Issued in IL
Practice address
1005 N Pine St
Rolla, MO 65401-2824
Phone
(573) 426-3350
Fax
(573) 279-4680
NPI assigned
Mar 23, 2009
Reactivated
Sep 23, 2021
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147001851 IL Primary

Addresses

Primary practice location

1005 N Pine St
Rolla, MO 65401-2824

Mailing address

611 W. Park St
Fapc
Urbana, IL 61801

Other practice location 1

207 Landmark Dr Ste A
Normal, IL 61761-3195
Phone (309) 268-3200

Other practice location 2

816 S Eldorado Rd Ste 1&2A
Bloomington, IL 61704-6000
Phone (309) 662-8834

Other names 1

  • Christy Kimly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211028001367 IL Practitioner - Qualified Audiologist 1355739186 Reassigns benefits to 2 organizations
I20230313000862 MO Practitioner - Qualified Audiologist 1355739186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1005 N Pine St
Rolla, MO 65401-2824
Phone (573) 426-3350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147001851ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Angkor Audiology LLC Audiologist CurrentSince Feb 3, 2023 Accepting new patients
Carle West Physician Group Inc CurrentSince May 13, 2022 Accepting new patients
Peoria Ear, Nose and Throat Group, S.C. Audiologist CurrentSince Oct 20, 2022 Accepting new patients
Metro Hearing Services Past Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

207 Landmark Dr
Ste A
Normal, IL 61761
Phone (309) 268-3200

7301 N Knoxville Ave
Peoria, IL 61614
Phone (309) 589-5900

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

1005 N Pine St
Rolla, MO 65401
Phone (573) 368-3242

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": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1245471150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST",
            "address_2": "FAPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N PINE ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012824",
            "telephone_number": "573-426-3350",
            "fax_number": "573-279-4680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Landmark Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Normal",
            "state": "IL",
            "postal_code": "617613195",
            "country_code": "US",
            "telephone_number": "309-268-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "816 S Eldorado Rd Ste 1&2A",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617046000",
            "country_code": "US",
            "telephone_number": "309-662-8834",
            "fax_number": "309-662-0479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHRT",
        "first_name": "CHRISTY",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "deactivation_date": "2009-04-01",
        "reactivation_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "KIMLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.