LISA M AMBROSIUS (AUD CCCASLP) – Audiologist, NPI 1487632329

LISA M AMBROSIUS (AUD CCCASLP) is a healthcare provider. based in Marinette, Wisconsin. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD CCCASLP. They hold a License No. 1899154 (WI). The NPI Number for LISA M AMBROSIUS (AUD CCCASLP) is 1487632329

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
LISA M AMBROSIUS (AUD CCCASLP)
NPI
1487632329
Phone
(715) 735-3187
Address
3200 SHORE DR
Enumeration Date
31 December 2005
Last Update Date
19 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204964700
Graduation Year
2007 (19 years ago)
PAC ID
2668509738
Group Practice PAC ID
5799694675
Professional Enrollment ID
I20100421000476
Address ID
WI543032667GR1860XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

218 QUALIFIED AUDIOLOGIST in WI

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Provider Addresses for LISA M AMBROSIUS (AUD CCCASLP)

  • BellinHealth, 3200, County Road BB, Marinette, Town of Peshtigo, Marinette County, Wisconsin, 54143, United States

    MARINETTE, WI 541434292

    Phone: (715) 735-3187

    Fax: (715) 735-5848

    Type: Mailing

  • Dousman Street, Fort Howard, Green Bay, Brown County, Wisconsin, 54305, United States

    GREEN BAY, WI 543033211

    Phone: (920) 405-1414

    Fax: (920) 405-1462

    Type: Location

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: 2010-04-21

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100421000476IQualified AudiologistWITBD

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 test8582$0
92567Test to assess middle ear function7975$0
92604Analysis and reprogramming of inner ear implant (7 years or older)6125$0
92540Evaluation and testing for balance with recording1212$0
92537Test to assess balance during warm and cool irrigation in both ears1111$0
View full utilization report →

Insurance plans in this area (ZIP 54143)

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Provider's Procedures

LISA M AMBROSIUS (AUD CCCASLP) performs procedures in QUALIFIED AUDIOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTWI92567Eardrum testing using ear probe197160

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: 5799694675View full group profile
NameSpecialtyState
P O D I A T R YWI
-WI
-WI
Family Practice, Sports MedicineWI
-OH
Physical Therapist In Private PracticeWI
-WI
-WI
Internal Medicine, HospitalistWI
-WI

Reviews

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Frequently asked questions

How do payers reference LISA M AMBROSIUS (AUD CCCASLP)?
For LISA M AMBROSIUS (AUD CCCASLP), use NPI 1487632329 as the unique 10-digit identifier.
Would LISA M AMBROSIUS (AUD CCCASLP) appear as active to a payer?
You can treat LISA M AMBROSIUS (AUD CCCASLP) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with LISA M AMBROSIUS (AUD CCCASLP)?
LISA M AMBROSIUS (AUD CCCASLP)'s record emphasizes Audiologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LISA M AMBROSIUS (AUD CCCASLP)?
Travel planning: use Marinette, Wisconsin as the reference point for LISA M AMBROSIUS (AUD CCCASLP), then confirm.
Can I trust this NPI listing for LISA M AMBROSIUS (AUD CCCASLP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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