MEDICARE: JOELLEN MARIE WOLTERMAN M.A., CCC-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	875	IA
2	237600000X	Audiologist-Hearing Aid Fitter	02049	MO
3	237600000X	Audiologist-Hearing Aid Fitter	580	IA

General Provider Information

NPI Number	:	1003055138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOELLEN MARIE WOLTERMAN M.A., CCC-A

Provider Business Mailing Address
First Line	:	101 MOSAIC CT STE 300
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-0015
Country	:	US
Telephone Number	:	816-671-4840
Fax Number	:	816-671-4845

Provider Business Practice Location Address
First Line	:	101 MOSAIC CT STE 300
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-0015
Country	:	US
Telephone Number	:	816-671-4840
Fax Number	:	816-671-4840

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2009
Last Update Date	:	04/06/2026

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