INTERPROFESSIONAL COMMUNITY CLINICS
NPI 1093937476
Audiologist in Muncie, IN

Active since May 03, 2007CLIA 15D2265015 · Waiver
1613 W RIVERSIDE AVE HB 155, MUNCIE, IN 47306(765) 285-5354(765) 285-5623 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Interprofessional Community Clinics NPPES

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

INTERPROFESSIONAL COMMUNITY CLINICS (NPI 1093937476) is a healthcare organization registered as an audiologist in Muncie, Indiana and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through July 20, 2028 and lists Blair Scott Mattern, Dir Of Clinical Operations, as its authorized official.

NPPES Registry Identity

NPI1093937476
Entity TypeOrganization
Primary Taxonomy231H00000X
Legal Business NameBALL STATE UNIVERSITY
Location Address1613 W RIVERSIDE AVE HB 155Muncie, IN 47306-1022
Mailing Address1613 W Riverside Ave Hb 155Muncie, IN 47306-1022 · (765) 285-5354 · Fax (765) 285-5623
Fax(765) 285-5623
Organization SubpartNo
Authorized OfficialBlair Scott MatternDir Of Clinical Operations · (765) 285-5354
Enumeration DateMay 3, 2007
Last NPPES UpdateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1093937476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Licenses✔ Licensed in IN · 23002219A✔ Licensed in IN · 23002284A✔ Licensed in IN · 23000144✔ Licensed in IN · 23002244A
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.
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License 22002254A (IN), 22003906A (IN), 22002004A (IN), 22001549 (IN), 22000224A (IN), 22002106 (IN), 22001890A (IN), 22002571 (IN), 22001905A (IN), 22001560 (IN), 22003456A (IN)
1613 W RIVERSIDE AVE HB 155, Muncie, IN 47306

Other Names 1

Doing Business AsInterprofessional Community Clinics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Interprofessional Community Clinics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Interprofessional Community Clinics, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Qualified Speech Language Pathologist9
Qualified Audiologist6
Nurse Practitioner3

Clinicians, nearest first (18)

Qualified Speech Language Pathologist
NPI 1588697577
1613 W RIVERSIDE AVE
Muncie, IN 47306
(765) 285-4422
Same address
Qualified Speech Language Pathologist
NPI 1326082504
1613 W RIVERSIDE AVE
Muncie, IN 47306
(765) 285-4422
Same address
Qualified Audiologist
NPI 1740586569
2000 W UNIVERSITY AVE
Muncie, IN 47306
(765) 285-8160
0.2 mi
Qualified Audiologist
NPI 1588983183
2000 W UNIVERSITY AVE AC 104
Muncie, IN 47306
(765) 285-8175
0.2 mi
Qualified Audiologist
NPI 1205156155
BALL STATE UNIVERSITY ARTS AND COMMUNICATION BLDG RM 104
Muncie, IN 47306
(765) 285-5354
0.4 mi
Nurse Practitioner
NPI 1063339752
2000 W UNIVERSITY AVE
Muncie, IN 47306
(765) 285-5598
✔ PECOS0.4 mi
Qualified Speech Language Pathologist
NPI 1255458006
2401 W UNIVERSITY AVE
Muncie, IN 47303
(765) 747-3013
0.5 mi
Nurse Practitioner
NPI 1952778052
1714 W ROYALE DR
Muncie, IN 47304
(765) 372-8187
✔ PECOS✔ Accepts Medicare1.1 mi
Qualified Audiologist
NPI 1659546869
2015 JACKSON ST
Anderson, IN 46016
(765) 646-8411
✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1871100305
500 W VOTAW ST STE A
Portland, IN 47371
(260) 726-4350
✔ PECOS28 mi
Qualified Audiologist
NPI 1750531950
8202 CLEARVISTA PKWY STE 8B
Indianapolis, IN 46256
(317) 436-8306
39 mi
Qualified Speech Language Pathologist
NPI 1619025210
14901 CAREY RD
Carmel, IN 46033
(877) 407-3422
40 mi
Qualified Speech Language Pathologist
NPI 1528727609
118 MEDICAL DR
Carmel, IN 46032
(317) 573-1037
42 mi
Qualified Speech Language Pathologist
NPI 1790807105
1920 ALVEE CIR
Indianapolis, IN 46239
(317) 357-0635
46 mi
Qualified Speech Language Pathologist
NPI 1871752485
9192 WALDEMAR RD
Indianapolis, IN 46268
(317) 471-8560
48 mi
Qualified Speech Language Pathologist
NPI 1467927400
1010 W WASHINGTON CENTER RD
Fort Wayne, IN 46825
(260) 489-2552
66 mi
Qualified Speech Language Pathologist
NPI 1538229190
200 LOTHROP ST
Pittsburgh, PA 15213
(412) 647-2100
288 mi
Qualified Audiologist
NPI 1265749329
116 S PALISADE DR STE 206
Santa Maria, CA 93454
(805) 614-9250
1,942 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2265015

Ball State University Interprofessional Community Clinics · Muncie, IN
Active · expires Jul 20, 2028
CLIA Number15D2265015
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorJustin Tobyas
Laboratory Phone(765) 285-8160
Laboratory LocationBall State University Interprofessional Community Clinics1615 W Riverside Ave, Muncie, IN 47306
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Ball State University's NPI number?

The NPI number for Ball State University is 1093937476. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as Interprofessional Community Clinics.

Where is Ball State University located?

Ball State University is located at 1613 W Riverside Ave Hb 155, Muncie, IN 47306. The listed phone number is (765) 285-5354.

What is Ball State University's specialty?

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

Is Ball State University enrolled in Medicare?

Yes. Ball State University is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ball State University?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 3 Medicare specialties reassign their Medicare billing to Ball State University. A 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 the clinician's services. The largest specialties are Qualified Speech Language Pathologist (9), Qualified Audiologist (6) and Nurse Practitioner (3). Of these, 2 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ball State University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2265015) is associated with this NPI, valid through July 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ball State University accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Ball State University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ball State University was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.