Active NPI
Edwin Carl Nelson
- Hearing Instrument Specialist
- Huntley, IL
National Provider Identifier
1336375989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2909
- Practice address
- 12545 Farm Hill Dr Ste 400H
Huntley, IL 60142-7913 - Phone
- (800) 496-4202
- NPI assigned
- Jun 9, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2909 | IL | Primary |
Addresses
Primary practice location
12545 Farm Hill Dr Ste 400H
Huntley, IL 60142-7913
Mailing address
12545 Farm Hill Dr Ste 400H
Huntley, IL 60142-7913
Phone (800) 496-4202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2909 | IL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Hearing, Inc. | Hearing Instrument Specialist | Past | Accepting new patients |
| Connect Hearing Inc | Hearing Instrument Specialist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1336375989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12545 FARM HILL DR STE 400H",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601427913",
"telephone_number": "800-496-4202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12545 FARM HILL DR STE 400H",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601427913",
"telephone_number": "800-496-4202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "EDWIN",
"middle_name": "CARL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-09",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "2909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.