Individual provider Active NPI

Laura Ann Schroeder, AU.D.

  • Audiologist
  • Davenport, IA
National Provider Identifier
1912294208
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000770 Issued in IA
Practice address
2215 E 52ND St Ste 2
Davenport, IA 52807-2786
Phone
(563) 355-7712
Fax
(563) 359-1325
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000770 IA Primary
Audiologist 231H00000X 383A SD

Addresses

Primary practice location

2215 E 52ND St Ste 2
Davenport, IA 52807-2786

Mailing address

2215 E 52ND St Ste 2
Davenport, IA 52807-2786
Phone (563) 355-7712

Other names 1

  • Laura Ann Mergen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130809000708 IA Practitioner - Qualified Audiologist 3072780022 Reassigns benefits to 1 organization
I20141119000140 IL Practitioner - Qualified Audiologist 3072780022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Quad Cities Audiology Consultants, P.C.Group PAC ID 1052206075, 6 clinicians

Practice addresses (Care Compare)

2215 E 52ND St
Davenport, IA 52807-2786
Phone (563) 355-7712

600 N College Ave
Geneseo, IL 61254-1091
Phone (309) 944-9181

600 Valley View Dr
Lowr Level
Moline, IL 61265-6118
Phone (309) 517-3889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000770IAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Quad Cities Audiology Consultants, P.C. Audiologist CurrentSince Jul 16, 2014 Accepting new patients
ENT Hearing AIDS, LLC Audiologist Past Accepting new patients
Audiology Associates, Inc. Audiologist PastSince Aug 12, 1998 Accepting new patients

Locations

2215 E 52nd St
Ste 2
Davenport, IA 52807
Phone (563) 355-7712

3426 N Port Dr
Ste 500
Muscatine, IA 52761
Phone (563) 264-9406

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

600 Valley View Dr
Moline, IL 61265
Phone (309) 757-7196

600 Valley View Dr
Lowr
Moline, IL 61265
Phone (309) 277-0117

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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1912294208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E 52ND ST STE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072786",
            "telephone_number": "563-355-7712",
            "fax_number": "563-359-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E 52ND ST STE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072786",
            "telephone_number": "563-355-7712",
            "fax_number": "563-359-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "000770",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SD",
            "license": "383A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MERGEN",
            "middle_name": "ANN",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.