LISA MARIE GARDNER (AUDIOLOGIST MS.CCC.A) – Audiologist, NPI 1376715615
Audiologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
99 QUALIFIED AUDIOLOGIST in IA
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Provider Addresses for LISA MARIE GARDNER (AUDIOLOGIST MS.CCC.A)
1601, Northwest 114th Street, Clive, Polk County, Iowa, 50325, United States
SUITE 230
CLIVE, IA 503257007
Phone: (515) 222-7761
Fax: (515) 222-7926
Type: Location
PO BOX 1475
DES MOINES, IA 503051475
Phone: (515) 643-4374
Fax: (515) 643-2784
Type: Mailing
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.
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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: 2008-05-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080521000297 | I | Qualified Audiologist | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92567 | Test to assess middle ear function | 176 | 167 | $0 |
| 92557 | Comprehensive hearing and speech recognition test | 149 | 148 | $0 |
| 92552 | Test for hearing various pitches using earphone | 45 | 43 | $0 |
Insurance plans in this area (ZIP 50325)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | IA | |
| P S Y C H I A T R Y | IA | |
| - | IA | |
| Family Practice | IA | |
| - | NE | |
| Emergency Medicine | IA | |
| Family Practice | IA | |
| Physician Assistant | IA | |
| - | IA | |
| Nurse Practitioner | IA |
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