Individual provider Active NPI

Jacey Raenelle Courser, AUD.

  • Audiologist
  • Cambridge, OH
National Provider Identifier
1891046363
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A.02229 Issued in OH
Practice address
407 Wheeling Ave
Cambridge, OH 43725-2247
Phone
(740) 439-6647
Fax
(740) 439-6648
NPI assigned
Sep 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A.02229 OH Primary

Addresses

Primary practice location

407 Wheeling Ave
Cambridge, OH 43725-2247

Mailing address

580 Howard Ave
Somerset, NJ 08873-1113

Other identifiers 1

IdentifierTypeStateIssuer
0377941MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191218002389 OH Practitioner - Qualified Audiologist 5294987012 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A615NHMDAudiologist
8051143VTMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC Audiologist CurrentSince Nov 30, 2020 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Nov 30, 2020 Accepting new patients
Accuquest Hearing Center, LLC Audiologist CurrentSince Nov 21, 2023 Accepting new patients

Locations

580 Howard Ave
Somerset, NJ 08873
Phone (888) 277-8014

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

921 Rush Ave
Bellefontaine, OH 43311
Phone (937) 324-3937

407 Wheeling Ave
Cambridge, OH 43725
Phone (740) 439-6647

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

5917 Hoover Rd
Grove City, OH 43123
Phone (614) 991-5948

2670 N Columbus St
Ste B
Lancaster, OH 43130
Phone (740) 617-0757

6929 W 130th St
Ste 201
Parma Heights, OH 44130
Phone (440) 886-1552

10501 Blacklick Eastern Rd
Ste 700
Pickerington, OH 43147
Phone (614) 694-4423

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

121 Westerville Plz
Westerville, OH 43081
Phone (614) 328-8394

3592 Maple Ave
Zanesville, OH 43701
Phone (740) 452-7121

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1891046363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 HOWARD AVE",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 WHEELING AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252247",
            "telephone_number": "740-439-6647",
            "fax_number": "740-439-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURSER",
        "first_name": "JACEY",
        "middle_name": "RAENELLE",
        "name_prefix": "Dr.",
        "credential": "AUD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.02229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0377941",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.