Active NPI
Kari Lynn Mobley, AU.D.
- Audiologist
- Willmar, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 6325
- Practice address
- 101 Willmar Ave SW
Willmar, MN 56201-3556 - Phone
- (320) 231-5000
- Fax
- (320) 214-6149
- NPI assigned
- Aug 18, 2009
- Sex
- Female
- Sole proprietor
- No
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.
-
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1912664889
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centracare Clinic Southwest LLC
Practice addresses (Care Compare)
101 Willmar Ave SW
Willmar, MN 56201-3556
Phone (320) 231-5000
600 Peterson Pkwy
New London, MN 56273-7823
Phone (320) 354-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121022000195 | MN | Practitioner - Qualified Audiologist | 9335277177 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6325 | MN | MD | Clinical Psychologist |
| 0425 | KY | MD | Speech-Language Pathologist |
| 0873 | KY | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic Southwest LLC | Current | Accepting new patients | |
| Centracare Clinic Southwest LLC | Current | Accepting new patients |
Locations
600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 0873 | KY | |
| Audiologist | 231H00000X | 6325 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
101 Willmar Ave SW
Willmar, MN 56201-3556
Mailing address
101 Willmar Avenue SW
Affiliated Community Medical Centers
Willmar, MN 56201-3591
Phone (320) 231-5079
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmobley287723@direct.centracare.com | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 28, 2023.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1437381985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WILLMAR AVENUE SW",
"address_2": "AFFILIATED COMMUNITY MEDICAL CENTERS",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562013591",
"telephone_number": "320-231-5079",
"fax_number": "320-231-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WILLMAR AVE SW",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562013556",
"telephone_number": "320-231-5000",
"fax_number": "320-214-6149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOBLEY",
"first_name": "KARI",
"middle_name": "LYNN",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-18",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "KY",
"license": "0873",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "6325",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmobley287723@direct.centracare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "kmobley287723@direct.centracare.com",
"address_1": "101 Willmar Ave SW",
"city": "Willmar",
"state": "MN",
"country_code": "US",
"postal_code": "562013556",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.