Active NPI
Mary Jo Grote, PHD
- Audiologist
- New Bern, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 30001526
- Practice address
- 3110 Wellons Blvd
New Bern, NC 28562-5247 - Phone
- (252) 638-2515
- Fax
- (252) 638-8538
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 30001526 | NC | Primary |
Addresses
Primary practice location
3110 Wellons Blvd
New Bern, NC 28562-5247
Mailing address
PO Box 68
Pollocksville, NC 28573-0068
Phone (252) 635-3906
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5518-0001 | Other | VA | CAREFIRST BCBS |
| 0007472511 | Other | VA | AETNA- PPO |
| 265673 | Other | VA | MAMSI, OPTIMUM, MDIPA |
| 9460144 | Medicaid | VA | |
| 265673 | Other | VA | ALLIANCE |
| 272803 | Other | VA | BLUE CROSS BLUE SHIELD |
| 54/1804291-001 | Other | VA | CIGNA |
| 541804291 | Other | VA | PHCS |
| 3311009 | Other | VA | AETNA- HMO |
| 541804291 | Other | VA | GREAT WEST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1706 US Hwy 70 E
Suite D
New Bern, NC 28560-6844
Phone (252) 773-0636
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.61 of 100
- Quality
- 57.39
- Promoting interoperability
- 68
- Improvement activities
- 40
- Cost
- 77.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Coast Hearing and Balance, Inc. | Audiologist | Current | Accepting new patients |
| East Coast Hearing AIDS | Audiologist | Current | Accepting new patients |
| The Hearing Health Care Center of Manassas, Inc. | Audiologist | Past | Accepting new patients |
Locations
5041 Executive Dr
Ste 100
Morehead City, NC 28557
Phone (252) 773-0636
1706 US Highway 70 E
Ste D
New Bern, NC 28560
Phone (252) 773-0636
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.
-
- Audiologist
- Morehead City, NC
- NPI 1487064846
-
- Audiologist
- Manassas, VA
- NPI 1841423274
-
- Audiologist
- Raleigh, NC
- NPI 1174232870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1427022045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 68",
"city": "POLLOCKSVILLE",
"state": "NC",
"postal_code": "285730068",
"telephone_number": "252-635-3906",
"fax_number": "252-224-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 WELLONS BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625247",
"telephone_number": "252-638-2515",
"fax_number": "252-638-8538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTE",
"first_name": "MARY JO",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "30001526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "5518-0001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA- PPO",
"identifier": "0007472511",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI, OPTIMUM, MDIPA",
"identifier": "265673",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9460144",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE",
"identifier": "265673",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "272803",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "54/1804291-001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "541804291",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA- HMO",
"identifier": "3311009",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "541804291",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.