LISA GOERNER (CCC-A) – Audiologist, NPI 1821071838

LISA GOERNER (CCC-A) is a healthcare provider. based in Bloomington, Indiana. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials CCC-A. They hold a License No. 23002099A (IN). The NPI Number for LISA GOERNER (CCC-A) is 1821071838

Main info

Female
17 Years Of Experience
Name
LISA GOERNER (CCC-A)
NPI
1821071838
Phone
(812) 855-7439
Address
200 S JORDAN AVE
Enumeration Date
23 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122026168
Graduation Year
2009 (17 years ago)
PAC ID
4789973199
Group Practice PAC ID
3971918814
Professional Enrollment ID
I20160524001108
Address ID
IN474033239BL533XXAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

249 QUALIFIED AUDIOLOGIST in IN

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Provider Addresses for LISA GOERNER (CCC-A)

  • William and Gayle Cook Music Library, 200, South Jordan Avenue, Bloomington, Monroe County, Indiana, 47405, United States

    BLOOMINGTON, IN 474057002

    Phone: (812) 855-7439

    Fax: (812) 855-5561

    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: 2016-05-24

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
I20160524001108IQualified AudiologistINTBD

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
92557Comprehensive hearing and speech recognition test3030$0
View full utilization report →

Insurance plans in this area (ZIP 47405)

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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: 3971918814View full group profile
NameSpecialtyState
Qualified AudiologistIN
Qualified AudiologistIN

Reviews

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Frequently asked questions

Where can patients find LISA GOERNER (CCC-A)'s NPI?
You can confirm LISA GOERNER (CCC-A) with NPI 1821071838; it appears in the national provider directory.
Is LISA GOERNER (CCC-A) active in the national directory?
LISA GOERNER (CCC-A)'s public NPI profile is in an active state.
What kind of provider is LISA GOERNER (CCC-A)?
The page reflects Audiologist for LISA GOERNER (CCC-A). Clinical services aligned with this taxonomy classification.
Where is LISA GOERNER (CCC-A)'s primary listing?
We display Bloomington, Indiana because that is what the record indicates for LISA GOERNER (CCC-A).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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