Individual provider Active NPI

Kelsie L Marin, AUD

  • Audiologist
  • Dover, DE
National Provider Identifier
1336037530
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
O2-0010340 Issued in DE
Practice address
99 Wolf Creek Blvd Ste 3
Dover, DE 19901-4968
Phone
(302) 674-2502
Fax
(302) 674-2504
NPI assigned
Jun 25, 2025
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 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 O2-0010340 DE Primary

Addresses

Primary practice location

99 Wolf Creek Blvd Ste 3
Dover, DE 19901-4968

Mailing address

701 Shrewsbury CT
Dover, DE 19901-5451
Phone (724) 504-7386

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819004666 DE Practitioner - Qualified Audiologist 9032618665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2501 Cottontail LN
Somerset, NJ 08873-5125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
O2-0010340DEMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Audiologist CurrentSince Jul 24, 2025 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Jul 24, 2025 Accepting new patients

Locations

99 Wolf Creek Blvd
Ste 3
Dover, DE 19901
Phone (302) 674-2502

104 Sleepy Hollow Dr
Ste 202
Middletown, DE 19709
Phone (302) 376-3500

28 Peoples Plz
Newark, DE 19702
Phone (302) 836-9870

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 564-7115

Organizations & group practices 2

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": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1336037530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SHREWSBURY CT",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199015451",
            "telephone_number": "724-504-7386",
            "fax_number": "724-504-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WOLF CREEK BLVD STE 3",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014968",
            "telephone_number": "302-674-2502",
            "fax_number": "302-674-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "KELSIE",
        "middle_name": "L",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "DE",
            "license": "O2-0010340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.