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BETHANY LEE WALDEN AU.D.
NPI 1295821346
Audiologist in Port Charlotte, FL

Active since October 05, 2006
21216 OLEAN BLVD STE 4, PORT CHARLOTTE, FL 33952(941) 766-8886(941) 766-8804 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bethany Lee Walden Au.d. NPPES

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

BETHANY LEE WALDEN AU.D. (NPI 1295821346) is an individual audiologist in Port Charlotte, Florida, licensed in Florida (AY211) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1295821346
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameBETHANY LEE WALDENCredential: AU.D.
Location Address21216 OLEAN BLVD STE 4Port Charlotte, FL 33952-6722
Mailing Address215 Shuman Blvd Ste 401Naperville, IL 60563-8123 · (630) 303-5380 · Fax (630) 303-5385
Phone(941) 766-8886
Fax(941) 766-8804
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateAugust 8, 2019
✔ NPI 1295821346 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 FL · AY211
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.
21216 OLEAN BLVD STE 4, Port Charlotte, FL 33952
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Other Identifiers 6

Other204102500FL · U.s. Dept Of Labor
Other640004249FL · R.r. Medicare
Medicaid600341900FL
Other2667047FL · Aetna
OtherS0808FL · Blue Cross/blue Shield
Other7139291FL · Aetna

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Lee Walden Au.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Bethany Walden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Connect Hearing Inc
1,077 mi
Hearing Aid Equipment
750 N COMMONS DR STE 200
Aurora, IL 60504
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1265700942 (630) 303-5380

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 3

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

CONNECT HEARING, INC.
Hearing Aid Equipment
21216 OLEAN BLVD STE 4
PORT CHARLOTTE, FL 33952
Charlotte County (941) 766-8886
MRS. MARGARET G. THOMAS HEARING AID SPECIALI
Hearing Instrument Specialist
21216 OLEAN BLVD STE 4
PORT CHARLOTTE, FL 33952
Charlotte County (941) 766-8866
DERICK ALEXANDER WINN HEARING SPECIALIST
Hearing Instrument Specialist
21216 OLEAN BLVD STE 4
PORT CHARLOTTE, FL 33952
Charlotte County (941) 766-8886

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 Bethany Walden's NPI number?

The NPI number for Bethany Walden is 1295821346. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Bethany Walden located?

Bethany Walden practices at 21216 Olean Blvd Ste 4, Port Charlotte, FL 33952. The listed phone number is (941) 766-8886.

What is Bethany Walden's specialty?

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

Is Bethany Walden enrolled in Medicare?

Yes. Bethany Walden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bethany Walden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Walden reassigns Medicare benefits to Connect Hearing Inc (Aurora, IL). The 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 Bethany Walden'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 Bethany Walden was last updated on August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.