THOMAS AMBROSINI (NP) – Emergency Medicine Physician, NPI 1114067006

THOMAS AMBROSINI (NP) is a healthcare provider. based in Woodland, California. specializing in Emergency Medicine Physician. They hold the professional credentials NP. They hold a License No. NP11214 (CA). The NPI Number for THOMAS AMBROSINI (NP) is 1114067006

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS AMBROSINI (NP)
NPI
1114067006
Phone
(530) 662-3961
Address
1325 COTTONWOOD ST
Enumeration Date
8 February 2007
Last Update Date
25 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5306695379
Graduation Year
1999 (27 years ago)
PAC ID
5698710523
Group Practice PAC ID
8921176785
Professional Enrollment ID
I20050622000304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for THOMAS AMBROSINI (NP)

  • 1325 COTTONWOOD ST

    WOODLAND, CA 956955131

    Phone: (530) 662-3961

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050622000304INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making2626$0
99285Emergency department visit with high level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 95695)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921176785View full group profile

Reviews

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Frequently asked questions

How do payers reference THOMAS AMBROSINI (NP)?
For THOMAS AMBROSINI (NP), use NPI 1114067006 as the unique 10-digit identifier.
Active or inactive — what applies to THOMAS AMBROSINI (NP)?
You should see THOMAS AMBROSINI (NP) as active in CMS-hosted NPPES data.
What area of care is associated with THOMAS AMBROSINI (NP)?
THOMAS AMBROSINI (NP)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is THOMAS AMBROSINI (NP) associated with Woodland?
Public fields place THOMAS AMBROSINI (NP) around Woodland, California. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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