Individual provider Active NPI

Callie Wetzel

  • Audiologist
  • New Orleans, LA
National Provider Identifier
1528849940
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
2633 Napoleon Ave Ste 703
New Orleans, LA 70115-7420
Phone
(504) 301-1271
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

2633 Napoleon Ave Ste 703
New Orleans, LA 70115-7420

Mailing address

451 Ruin Creek Rd Ste 104
Henderson, NC 27536-5920

Other names 1

  • Callie Moran Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231021000346 LA Practitioner - Qualified Audiologist 5395191738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revolution HearingGroup PAC ID 6608249727, 6 clinicians

Practice addresses (Care Compare)

2633 Napoleon Ave
Suite 703
New Orleans, LA 70115-7420
Phone (504) 301-1271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9475LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Clinic of Greater New Orleans, LLC CurrentSince Sep 26, 2023 Accepting new patients
Revolution Hearing Audiologist CurrentSince Sep 26, 2023 Accepting new patients

Locations

2633 Napoleon Ave
Ste 703
New Orleans, LA 70115
Phone (504) 301-1271

451 Ruin Creek Rd
Ste 104
Henderson, NC 27536
Phone (252) 290-6264

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": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1528849940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 RUIN CREEK RD STE 104",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275365920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 NAPOLEON AVE STE 703",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701157420",
            "telephone_number": "504-301-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "CALLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALLIE",
            "last_name": "MORAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.