Individual provider Active NPI

Nicole M. Vold, MA,CCC-A

  • Audiologist
  • Ames, IA
National Provider Identifier
1306822895
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00475 Issued in IA
Practice address
1215 Duff Ave
Ames, IA 50010-5014
Phone
(515) 239-4480
Fax
(515) 239-4539
NPI assigned
Dec 16, 2005
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 00475 IA Primary

Addresses

Primary practice location

1215 Duff Ave
Ames, IA 50010-5014

Mailing address

1215 Duff Ave
Ames, IA 50010-5014
Phone (515) 239-4480

Other identifiers 1

IdentifierTypeStateIssuer
0448464MedicaidIA

Other names 1

  • Ms. Nicole M. Roseland Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nvold2546@directmcfarlandclinic.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080531000076 IA Practitioner - Qualified Audiologist 2668542721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

1215 Duff Ave
Ames, IA 50010-5400
Phone (515) 239-4400

3500 University Blvd
Suite 1001
Ames, IA 50010-3014
Phone (515) 239-3040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00475IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McFarland Clinic PC CurrentSince May 1, 2008 Accepting new patients
Boone County Hospital Past Accepting new patients
McFarland Clinic, PC Past Accepting new patients

Locations

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

Organizations & group practices 3

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1306822895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105014",
            "telephone_number": "515-239-4480",
            "fax_number": "515-239-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105014",
            "telephone_number": "515-239-4480",
            "fax_number": "515-239-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLD",
        "first_name": "NICOLE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "MA,CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "00475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0448464",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nvold2546@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1215 Duff Ave",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500105014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ROSELAND",
            "middle_name": "M.",
            "prefix": "MS.",
            "credential": "MA,CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.