Individual provider Active NPI

Kelly R Overcasher, AUD, CCC-A,

  • Audiologist-Hearing Aid Fitter
  • North Canton, OH
National Provider Identifier
1851624746
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Practice address
6647 Frank Ave NW
North Canton, OH 44720-7259
Phone
(330) 494-8348
Fax
(330) 494-8356
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A01712 OH
Audiologist-Hearing Aid Fitter 237600000X OH Primary

Addresses

Primary practice location

6647 Frank Ave NW
North Canton, OH 44720-7259

Mailing address

6647 Frank Ave NW
North Canton, OH 44720-7259
Phone (330) 494-8348

Other practice location 1

650 S Prospect Ave Ste 206
Hartville, OH 44632-8944
Phone (330) 877-2549

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110701000090 OH Practitioner - Qualified Audiologist 4183802614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

650 S Prospect Ave
Suite 206
Hartville, OH 44632-8944
Phone (330) 877-2549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A01712OHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly R Overcasher Aud, Inc Audiologist CurrentSince Jul 6, 2015 Accepting new patients

Locations

650 S Prospect Ave
Ste 206
Hartville, OH 44632
Phone (330) 877-2549

6647 Frank Ave NW
North Canton, OH 44720
Phone (330) 494-8348

Organizations & group practices 1

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": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1851624746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6647 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207259",
            "telephone_number": "330-494-8348",
            "fax_number": "330-494-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6647 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207259",
            "telephone_number": "330-494-8348",
            "fax_number": "330-494-8356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 S Prospect Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Hartville",
            "state": "OH",
            "postal_code": "446328944",
            "country_code": "US",
            "telephone_number": "330-877-2549",
            "fax_number": "330-877-2866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVERCASHER",
        "first_name": "KELLY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A01712",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.