Individual provider Active NPI

Alison Marie Wyss, AU.D., CCC-A

  • Audiologist
  • Indianapolis, IN
National Provider Identifier
1992009104
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002491A Issued in IN
Practice address
911 E 86TH St Ste 35
Indianapolis, IN 46240-1840
Phone
(317) 731-5386
NPI assigned
Jan 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002491A IN Primary

Addresses

Primary practice location

911 E 86TH St Ste 35
Indianapolis, IN 46240-1840

Mailing address

911 E 86TH St Ste 35
Indianapolis, IN 46240-1840
Phone (317) 731-5386

Other names 1

  • Alison Marie Weisenbach Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111212000398 IN Practitioner - Qualified Audiologist 1759556210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

911 E 86TH St
Suite 35
Indianapolis, IN 46240-1840
Phone (317) 731-5386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23002491AINMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Audiology Audiologist CurrentSince May 11, 2021 Accepting new patients
Northside ENT, Inc Audiologist CurrentSince Nov 1, 2011 Accepting new patients

Locations

12065 Old Meridian St
Ste 205
Carmel, IN 46032
Phone (317) 844-5656

911 E 86th St
Ste 35
Indianapolis, IN 46240
Phone (317) 475-1112

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1992009104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E 86TH ST STE 35",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401840",
            "telephone_number": "317-731-5386",
            "fax_number": "317-705-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 86TH ST STE 35",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401840",
            "telephone_number": "317-731-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSS",
        "first_name": "ALISON",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002491A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "WEISENBACH",
            "middle_name": "MARIE",
            "credential": "AU.D., CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.