Individual provider Active NPI

Melanie R Offerle, MA CCCA

  • Audiologist
  • Fort Wayne, IN
National Provider Identifier
1265472120
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002384A Issued in IN
Practice address
10021 Dupont Circle CT
Fort Wayne, IN 46825-1604
Phone
(260) 426-8117
Fax
(260) 420-0817
NPI assigned
Jun 8, 2006
Last updated
Dec 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002384A IN Primary

Addresses

Primary practice location

10021 Dupont Circle CT
Fort Wayne, IN 46825-1604

Mailing address

10021 Dupont Circle CT
Fort Wayne, IN 46825-1604
Phone (260) 426-8117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060725000181 IN Practitioner - Qualified Audiologist 6305859083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Associates PCGroup PAC ID 3375504301, 36 clinicians

Practice addresses (Care Compare)

10021 Dupont Circle CT
Fort Wayne, IN 46825-1604
Phone (260) 426-8117

424 Williams St
Angola, IN 46703-1556
Phone (260) 426-8117

7926 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 426-8117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
23002384AINMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Associates, PC CurrentSince Dec 1, 2009 Accepting new patients
The Hearing Center LLC Audiologist CurrentSince Dec 28, 2025 Accepting new patients
Allied Physicians Inc Past Accepting new patients
Allied Physicians Inc Audiologist Past Accepting new patients

Locations

1169 N Main St
Ste 5
Bluffton, IN 46714
Phone (260) 827-4368

10021 DuPont Circle Ct
Fort Wayne, IN 46825
Phone (219) 426-8117

7900 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (219) 426-6667

2003 Stults Rd
Ste 220
Huntington, IN 46750
Phone (260) 463-2133

2814 Theater Ave
Huntington, IN 46750
Phone (260) 356-3611

1655 N Cass St
Wabash, IN 46992
Phone (260) 463-2133

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1265472120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10021 DUPONT CIRCLE CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251604",
            "telephone_number": "260-426-8117",
            "fax_number": "260-420-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 DUPONT CIRCLE CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251604",
            "telephone_number": "260-426-8117",
            "fax_number": "260-420-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFERLE",
        "first_name": "MELANIE",
        "middle_name": "R",
        "credential": "MA CCCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002384A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.