Individual provider Active NPI

Mary Ellen Rancourt, AUD

  • Audiologist
  • South Grafton, MA
National Provider Identifier
1871574939
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
469 Issued in MA
Practice address
43 Main St
South Grafton, MA 01560-1132
Phone
(774) 293-1515
Fax
(774) 293-1315
NPI assigned
Nov 7, 2005
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 469 MA Primary
Audiologist 231H00000X AUD00205 RI

Addresses

Primary practice location

43 Main St
South Grafton, MA 01560-1132

Mailing address

43 Main St
South Grafton, MA 01560-1132
Phone (774) 293-1515

Other practice location 1

151 Douglas Pike Ste 1
Smithfield, RI 02917-2379
Phone (401) 349-0456

Other identifiers 6

IdentifierTypeStateIssuer
AD0014OtherMABCBSMA
2026;1140DOtherRINHP RI
050258937OtherRITRICARE / HNF
1972629459OtherRIBCBSRI
701262OtherMATUFTS
5102634MedicaidMA

Other names 1

  • Mary Ellen Curran Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrancourt@hearjoyaudiology.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120917000526 RI Practitioner - Qualified Audiologist 4082862065 Reassigns benefits to 1 organization
I20171009003282 MA Practitioner - Qualified Audiologist 4082862065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hear Joy Audiology LLCGroup PAC ID 0244660843, 2 clinicians

Practice addresses (Care Compare)

151 Douglas Pike
Suite 1
Smithfield, RI 02917-2379
Phone (401) 349-0456

188 Worcester Providence Tpke
Unit E
Sutton, MA 01590-1908
Phone (774) 293-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD00205RIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear Joy Audiology LLC Audiologist CurrentSince Jan 28, 2020 Accepting new patients
Twin Rivers Hearing Health Inc Audiologist Past Accepting new patients

Locations

43 Main St
South Grafton, MA 01560
Phone (774) 293-1515

188 Worcester Providence Tpke
Unit E
Sutton, MA 01590
Phone (774) 293-1515

151 Douglas Pike
Ste 1
Smithfield, RI 02917
Phone (401) 349-0456

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, 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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1871574939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 MAIN ST",
            "city": "SOUTH GRAFTON",
            "state": "MA",
            "postal_code": "015601132",
            "telephone_number": "774-293-1515",
            "fax_number": "774-293-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 MAIN ST",
            "city": "SOUTH GRAFTON",
            "state": "MA",
            "postal_code": "015601132",
            "telephone_number": "774-293-1515",
            "fax_number": "774-293-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Douglas Pike Ste 1",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "RI",
            "postal_code": "029172379",
            "country_code": "US",
            "telephone_number": "401-349-0456",
            "fax_number": "401-349-0457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANCOURT",
        "first_name": "MARY ELLEN",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "469",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "RI",
            "license": "AUD00205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "AD0014",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP RI",
            "identifier": "2026;1140D",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE / HNF",
            "identifier": "050258937",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI",
            "identifier": "1972629459",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "701262",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5102634",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrancourt@hearjoyaudiology.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "43 Main St",
            "city": "South Grafton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015601132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARY ELLEN",
            "last_name": "CURRAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Grafton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.