Individual provider Active NPI

Michelle Marie Mattingly

  • Audiologist
  • Elyria, OH
National Provider Identifier
1568182707
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
1533 W River Rd N
Elyria, OH 44035-2713
Phone
(440) 324-6999
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

1533 W River Rd N
Elyria, OH 44035-2713

Mailing address

1490 W River Rd N
Elyria, OH 44035-2712

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703001806 OH Practitioner - Qualified Audiologist 7517470305 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Audiologist CurrentSince Jun 26, 2025 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Jun 26, 2025 Accepting new patients

Locations

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

1531 W River Rd N
Elyria, OH 44035
Phone (440) 324-4788

1490 W River Rd N
Elyria, OH 44035
Phone (440) 324-6999

2169 Stringtown Rd
Grove City, OH 43123
Phone (614) 871-5555

4816 Milan Rd
Sandusky, OH 44870
Phone (419) 625-9111

888 E Court St
Urbana, OH 43078
Phone (937) 652-1144

26032 Detroit Rd
Ste 7
Westlake, OH 44145
Phone (440) 808-9870

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1568182707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 W RIVER RD N",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 W RIVER RD N",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352713",
            "telephone_number": "440-324-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.

Verify at the official NPI Registry.