DR. AUDREY RAYBURN LEWIS (AU.D) – Audiologist, NPI 1134573009

DR. AUDREY RAYBURN LEWIS (AU.D) is a healthcare provider. based in Jbsa lackland, Texas. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D. They hold a License No. 80769 (TX). The NPI Number for DR. AUDREY RAYBURN LEWIS (AU.D) is 1134573009

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. AUDREY RAYBURN LEWIS (AU.D)
NPI
1134573009
Phone
Not provided
Address
1100 WILFORD HALL LOOP BLDG 4554
Enumeration Date
18 April 2016
Last Update Date
13 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5124540392
Graduation Year
2016 (10 years ago)
PAC ID
0547551061
Group Practice PAC ID
5496668238
Professional Enrollment ID
I20160614000316
Address ID
TX787051023AU3705XPKWY302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

665 QUALIFIED AUDIOLOGIST in TX

Provider Addresses for DR. AUDREY RAYBURN LEWIS (AU.D)

  • 1100 WILFORD HALL LOOP BLDG 4554

    JBSA LACKLAND, TX 782365638

    Phone:

    Type: Mailing

  • Medical City Dallas, 7777, Forest Lane, Dallas, Dallas County, Texas, 75230, United States

    #A103

    DALLAS, TX 752302571

    Phone: (956) 279-0083

    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.

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: 2016-06-14

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
I20160614000316IQualified AudiologistTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78236)

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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: 5496668238View full group profile
NameSpecialtyState
Physician AssistantOK
Qualified AudiologistCO
Physician AssistantTX
Qualified AudiologistTX
O T O L A R Y N G O L O G YTX
Physician AssistantTX
Qualified AudiologistTX
Qualified Speech Language PathologistTX
Nurse PractitionerTX
Physician AssistantTX

Reviews

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Frequently asked questions

Can I verify DR. AUDREY RAYBURN LEWIS (AU.D) with an NPI only?
You can start verification with NPI 1134573009 for DR. AUDREY RAYBURN LEWIS (AU.D), then check state licensing separately.
Does CMS list DR. AUDREY RAYBURN LEWIS (AU.D) as active?
Yes — DR. AUDREY RAYBURN LEWIS (AU.D) is active in the NPI listing used on this page.
What healthcare role does DR. AUDREY RAYBURN LEWIS (AU.D) hold?
Scheduling teams often label DR. AUDREY RAYBURN LEWIS (AU.D) under Audiologist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. AUDREY RAYBURN LEWIS (AU.D) on a map?
Expect Jbsa Lackland, Texas as a primary anchor for DR. AUDREY RAYBURN LEWIS (AU.D) unless the record lists multiple sites.
Is the information about DR. AUDREY RAYBURN LEWIS (AU.D) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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