Individual provider Active NPI

Libby Mehle, AUD

  • Audiologist
  • Rock Springs, WY
National Provider Identifier
1447609193
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
1208 Hilltop Dr Ste 105
Rock Springs, WY 82901-5858
Phone
(307) 522-5410
Fax
(307) 343-8148
NPI assigned
Jun 3, 2016
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

1208 Hilltop Dr Ste 105
Rock Springs, WY 82901-5858

Mailing address

1208 Hilltop Dr Ste 105
Rock Springs, WY 82901-5858
Phone (307) 371-0789

Other names 1

  • Libby Evertsen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170130002274 WY Practitioner - Qualified Audiologist 6406138304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1208 Hilltop Dr
Suite 105
Rock Springs, WY 82901-5858
Phone (307) 522-5410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Audiology Audiologist CurrentSince Sep 28, 2023 Accepting new patients
BRC Family Hearing Solutions Audiologist CurrentSince Jan 6, 2017 Accepting new patients
Riverton Physician Practices LLC Past Accepting new patients
College Hill Health Center Past Accepting new patients

Locations

140 Uinta Dr
Green River, WY 82935
Phone (307) 875-1460

198 Uinta Dr
Green River, WY 82935
Phone (307) 875-1460

2180 W Teton Blvd
Green River, WY 82935
Phone (307) 362-1861

150 Chase Dr
Lander, WY 82520
Phone (307) 438-9498

1208 Hilltop Dr
Ste 105
Rock Springs, WY 82901
Phone (307) 382-8644

Organizations & group practices 4

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": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1447609193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HILLTOP DR STE 105",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015858",
            "telephone_number": "307-371-0789",
            "fax_number": "307-343-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 HILLTOP DR STE 105",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015858",
            "telephone_number": "307-522-5410",
            "fax_number": "307-343-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLE",
        "first_name": "LIBBY",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIBBY",
            "last_name": "EVERTSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.