Austin Roy Poulsen

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

1655 E 2ND St
Casper, WY 82601-3001

Phone

(307) 473-5666

Fax

(307) 235-0423

NPI assigned

Jun 7, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brant Audiology, LLCGroup PAC ID 1254405657, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brant Audiology, LLC

  • Audiologist
  • Cheyenne, WY
  • NPI 1417123019
  Medicare reassignment Care Compare group NPD
• Brant Audiology, LLC

  • Audiologist
  • Casper, WY
  • NPI 1588086748
  NPD
• Brant Audiology, LLC

  • Audiologist
  • Torrington, WY
  • NPI 1700356417
  NPD

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1699342998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013001",
            "telephone_number": "307-473-5666",
            "fax_number": "307-235-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013001",
            "telephone_number": "307-473-5666",
            "fax_number": "307-235-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULSEN",
        "first_name": "AUSTIN",
        "middle_name": "ROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Paul Porter, LCSW
• Portercare Adventist Health System
• Portercare Adventist Health System
• Shannon Marie Possert
• Poudre Valley Medical Group, LLC
• Powder Horn Eye Care, LLC
• Michele Marie Powell-Braman, APRN
• Charles Powell, PH.D.
• Shawn David Powell, PH.D.
• Erin Marie Prach, DDS

• Audiologist in Casper, WY
• Providers in Casper, WY by specialty
• Audiologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.