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CARLA PETERSEN AU.D., CCC-A
NPI 1003162785
Audiologist in Boston, MA

Active since July 31, 2012
243 CHARLES ST, AUDIOLOGY DEPARTMENT, BOSTON, MA 02114(617) 573-3266(617) 573-3023 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carla Petersen Au.d., Ccc-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLA PETERSEN AU.D., CCC-A (NPI 1003162785) is an individual audiologist in Boston, Massachusetts, licensed in Massachusetts (990) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1003162785
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameCARLA PETERSENCredential: AU.D., CCC-A
Location Address243 CHARLES ST, AUDIOLOGY DEPARTMENTBoston, MA 02114-3002
Mailing Address243 Charles St, Audiology DepartmentBoston, MA 02114-3002 · (617) 573-3266 · Fax (617) 573-3023
Phone(617) 573-3266
Fax(617) 573-3023
Sole ProprietorNo
Enumeration DateJuly 31, 2012
Last NPPES UpdateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1003162785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in MA · 990
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
243 CHARLES ST, Boston, MA 02114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carla Petersen Au.d., Ccc-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Carla Petersen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Massachusetts Eye And Ear Associates, Inc.
Same address
Ophthalmology
243 CHARLES ST
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 478 clinicians in this Medicare group
NPI 1932574332 (617) 523-7900
Massachusetts Eye And Ear Infirmary
Same address
General Acute Care Hospital
243 CHARLES ST
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 54 clinicians in this Medicare group
NPI 1639101751 (617) 573-3089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SULEMAN IMRAN KHAN MD
Ophthalmology
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-4443
DR. RYAN CARLSON MD PHD
Student in an Organized Health Care Education/Training Program
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 523-7900
MASSACHUSETTS EYE AND EAR INFIRMARY
Eyewear Supplier
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3182
DANIEL ROBERT LEFEBVRE M.D.
Ophthalmology
243 CHARLES ST, 10TH FLOOR -- OPHTHALMIC PLASTIC SURGERY
BOSTON, MA 02114
Suffolk County (617) 523-7900
ELLIOTT D. KOZIN MD
Otolaryngology
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-6545
DR. LUCIA K SOMBERG MD, MPH
Emergency Medicine
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3431
MS. JANET ENGLISH HUETTIG LICSW
Social Worker (Clinical)
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3548
KYUNG OH DO, MS
Anesthesiology
243 CHARLES ST
BOSTON, MA 02114
Suffolk County (617) 573-3380

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carla Petersen's NPI number?

The NPI number for Carla Petersen is 1003162785. It was assigned to this individual provider in the NPPES registry on July 31, 2012.

Where is Carla Petersen located?

Carla Petersen practices at 243 Charles St Audiology Department, Boston, MA 02114. The listed phone number is (617) 573-3266.

What is Carla Petersen's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Carla Petersen enrolled in Medicare?

Yes. Carla Petersen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carla Petersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Petersen reassigns Medicare benefits to 2 organizations: Massachusetts Eye And Ear Associates, Inc. (Boston, MA) and Massachusetts Eye And Ear Infirmary (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carla Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carla Petersen was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.