Active NPI
Marie Neel Walser
- Audiologist
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147001742
- Practice address
- 3105 Fields South Dr
Champaign, IL 61822-3743 - Phone
- (217) 902-3277
- NPI assigned
- May 12, 2016
- Last updated
- Jan 29, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | NU | ||
| Audiologist | 231H00000X | 147001742 | IL | Primary |
Addresses
Primary practice location
3105 Fields South Dr
Champaign, IL 61822-3743
Mailing address
611 W. Park St.
Fapc
Urbana, IL 61801
Other practice location 1
103 Canal Landing Blvd Ste 3
Rochester, NY 14626-5108
Phone (585) 723-3440
Other practice location 2
241 Freedom Way
Midway Park, NC 28544-1418
Phone (910) 938-3099
Other names 1
- Marie Neel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IL
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12612 | NC | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinaeast Physicians | Current | Accepting new patients | |
| Carle Health Medical Group | Current | Accepting new patients | |
| Carolinaeast Physicians | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Carolinaeast Physicians | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Clear Choice Hearing Solutions, Inc | Audiologist | Past | Accepting new patients |
Locations
3105 Fields South Dr
Champaign, IL 61822
Phone (217) 902-3277
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088
241 Freedom Way
Midway Park, NC 28544
Phone (910) 938-3099
137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010
Organizations & group practices 7
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.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
dba Carle Richland Memorial Hospital
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
- Cardiovascular Disease Physician
- New Bern, NC
- NPI 1104066794
-
- Otolaryngology Physician
- Olney, IL
- NPI 1700063179
-
- Otolaryngology Physician
- Morehead City, NC
- NPI 1447596614
-
- Obstetrics & Gynecology Physician
- New Bern, NC
- NPI 1619868981
-
dba Clear Choice Hearing & Balance
- Early Intervention Provider Agency
- Rochester, NY
- NPI 1497985253
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1558717140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W. PARK ST.",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "61801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 FIELDS SOUTH DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618223743",
"telephone_number": "217-902-3277"
}
],
"practiceLocations": [
{
"address_1": "103 Canal Landing Blvd Ste 3",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146265108",
"country_code": "US",
"telephone_number": "585-723-3440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "241 Freedom Way",
"address_purpose": "LOCATION",
"city": "Midway Park",
"state": "NC",
"postal_code": "285441418",
"country_code": "US",
"telephone_number": "910-938-3099",
"fax_number": "910-938-3243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALSER",
"first_name": "MARIE",
"middle_name": "NEEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147001742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE",
"last_name": "NEEL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.