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Deactivated NPI 1467628545 Deactivated / Inactive NPI Female Practitioner

Dr. Mary Jo Cooley Hidecker , PhD, CCC-A, SLP

Audiologist • Laramie, WY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mary Jo Hidecker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 07, 2008
NPI Deactivation Date April 17, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Mary Jo Hidecker, PhD, CCC-A, SLP was a registered Audiologist practicing in Laramie, WY. Throughout an active medical career spanning 17 years, Dr. Hidecker provided care at the practice location at 2601 NORRIS RD until profile deactivation on 2025-04-17.

Practice Location & Contact Primary Location

Practice Address

2601 Norris Rd

Laramie, WY 820706649

Telephone 3077666098

Specialty Benchmarks & Practice Insights

Comparative analytics for Audiologist in Laramie, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 19.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Laramie, WY (41 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Audiologist Primary Specialty

NUCC Taxonomy Code: 231H00000X

(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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 17, 2025

Record deactivated on April 17, 2025

NPI Profile Active April 29, 2014

NPI status registered as active in NPPES database

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Updated Practice Location April 29, 2014

Registered at 2601 NORRIS RD, LARAMIE, WY 820706649 (Tel: 3077666098)

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Updated Business Mailing Address April 29, 2014

Registered at 2601 NORRIS RD, LARAMIE, WY 820706649 (Tel: 3077666098)

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Provider Name / Credentials Updated April 29, 2014

Recorded as MARY JO HIDECKER, PH.D., CCC-A/SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2014

Audiologist

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Initial NPI Registration & Enumeration May 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467628545
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2008
Last Update: April 29, 2014
Deactivation Date: April 17, 2025

Mailing Address

2601 Norris Rd

Laramie, WY 820706649

Phone: 3077666098

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.