Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellie Caroline Van Sickle, AUD

Individual provider Audiologist · NPI 1184514549

Ellie Caroline Van Sickle, AUD is a Qualified Audiologist in Lees Summit, Missouri. Qualified in 2025, 1 year ago. Practices with Charleston ENT Associates, LLC, a 77-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
1
Licensed in
KS, MO
In the registry since
2025
Specialties on file
2
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

4880 NE Goodview Cir
Lees Summit, MO 64064-1996
Phone: (816) 478-4200
Fax: (816) 875-2597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4550 W 109th St Ste 310, Leawood, KS 66211-1309 — (913) 721-3387
  • 4550 W 109th St Ste 240, Leawood, KS 66211-1309 — (913) 721-3387

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 2561 (KS)
Audiologist Taxonomy 231H00000X · Licence 2026026015 (MO)

Record details

NPI number1184514549
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD
Sole proprietorNo
NPI enumeratedJuly 8, 2025
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Charleston Ent Associates, Llc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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