Active NPI
Austin Roy Poulsen
- Audiologist
- Casper, WY
National Provider Identifier
1699342998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 1655 E 2ND St
Casper, WY 82601-3001 - Phone
- (307) 473-5666
- Fax
- (307) 235-0423
- NPI assigned
- Jun 7, 2021
- Last updated
- Jun 7, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
1655 E 2ND St
Casper, WY 82601-3001
Mailing address
1655 E 2ND St
Casper, WY 82601-3001
Phone (307) 473-5666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1655 E 2ND St
Casper, WY 82601-3001
Phone (307) 473-5666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brant Audiology, LLC | Audiologist | Current | Accepting new patients |
| Brant Audiology, LLC | Audiologist | Current | Accepting new patients |
| Brant Audiology, LLC | Audiologist | Current | Accepting new patients |
Locations
1655 E 2nd St
Casper, WY 82601
Phone (307) 265-5400
7215 Commons Cir
Unit C
Cheyenne, WY 82009
Phone (307) 426-4327
115 W 22nd Ave
Torrington, WY 82240
Phone (307) 235-1901
Organizations & group practices 3
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": "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": []
}Other providers in Casper, WY
- Timothy Paul Porter, LCSW
- Portercare Adventist Health System (AdventHealth Transplant Institute South Casper)
- Portercare Adventist Health System (AdventHealth Transplant Institute North Casper)
- Shannon Marie Possert
- Poudre Valley Medical Group, LLC (UCHealth Medical Group)
- Powder Horn Eye Care, LLC
- Michele Marie Powell-Braman, APRN
- Charles Powell, PH.D.
- Shawn David Powell, PH.D.
- Erin Marie Prach, DDS
Sources for this page
- 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.