CHARLENE KELLY CARROLL (AU.D.) – Audiologist, NPI 1770886590

CHARLENE KELLY CARROLL (AU.D.) is a healthcare provider. based in Plymouth, Massachusetts. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D.. They hold a License No. 1008 (MA). The NPI Number for CHARLENE KELLY CARROLL (AU.D.) is 1770886590

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
CHARLENE KELLY CARROLL (AU.D.)
NPI
1770886590
Phone
(508) 415-3096
Address
21 JACQUELINE LN
Enumeration Date
16 December 2010
Last Update Date
17 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083635000
Graduation Year
2012 (14 years ago)
PAC ID
3870802465
Group Practice PAC ID
5597755322
Professional Enrollment ID
I20151022000088
Address ID
MA016081216WO123XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

288 QUALIFIED AUDIOLOGIST in MA

Provider Addresses for CHARLENE KELLY CARROLL (AU.D.)

  • 21 JACQUELINE LN

    PLYMOUTH, MA 023604665

    Phone: (508) 415-3096

    Type: Mailing

  • 44 WASHINGTON ST

    SUITE 102A

    BROOKLINE, MA 024457130

    Phone: (617) 731-9988

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151022000088IQualified AudiologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92567Test to assess middle ear function149146$0
92557Comprehensive hearing and speech recognition test121119$0
92552Test for hearing various pitches using earphone2121$0
92556Test for ability to detect and repeat spoken words with speech recognition2121$0
View full utilization report →

Insurance plans in this area (ZIP 02360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597755322View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
Internal MedicineMA
-MA
-MA
Emergency MedicineMA
Physical Therapist In Private PracticeMA
Physician AssistantMA
Family PracticeMA
Clinical PsychologistMA
-MA

Reviews

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Frequently asked questions

Where can patients find CHARLENE KELLY CARROLL (AU.D.)'s NPI?
You can confirm CHARLENE KELLY CARROLL (AU.D.) with NPI 1770886590; it appears in the national provider directory.
Is CHARLENE KELLY CARROLL (AU.D.) currently active in the NPI registry?
CMS-published data lists CHARLENE KELLY CARROLL (AU.D.) as an active registrant.
What kind of provider is CHARLENE KELLY CARROLL (AU.D.)?
The page reflects Audiologist for CHARLENE KELLY CARROLL (AU.D.). Clinical services aligned with this taxonomy classification.
Does CHARLENE KELLY CARROLL (AU.D.) practice in Massachusetts?
You will see Plymouth, Massachusetts on file for CHARLENE KELLY CARROLL (AU.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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