ASHLEY ARMBRUSTER, D.O. — NPI 1053762211 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery

CMS-1500 Box 24J / 33a • NPI

1053762211

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2086S0102X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Critical Care

Box 32 Service Location & ZIP+4

1717 SHAFFER ST STE 124, KALAMAZOO, MI, 49048-1629

✓ 9-Digit EDI 837 ZIP+4 (49048-1629)

Practice Phone & Referral Fax

(269) 226-5456

Fax: (269) 226-4940

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053762211 (ASHLEY ARMBRUSTER, D.O.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1053762211` (NPI-1 Individual Practitioner)
Provider / Legal Name	ASHLEY ARMBRUSTER, D.O.
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Critical Care NUCC Code: `2086S0102X` (Surgery, Surgical Critical Care)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1717 SHAFFER ST STE 124, KALAMAZOO, MI, 49048-1629
Practice Telephone / Fax	Tel: (269) 226-5456 \| Fax: (269) 226-4940
Administrative Mailing Address	3245 HEALTH DR STE 100, GRANGER, IN, 46530-1380
Enumeration & Last Sync	Enumerated: 2016-06-28 \| CMS Record Updated: 2026-03-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1717 SHAFFER ST STE 124, KALAMAZOO, MI, 49048-1629

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Plain-English Taxonomy & CMS Crosswalk (2086S0102X)

What Does Taxonomy Code 2086S0102X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0102X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Critical Care"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Surgery, Surgical Critical Care for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ASHLEY ARMBRUSTER, D.O.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208600000X` — Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: MI \| License: `5101022751` \| Primary: Secondary
`2086S0102X` — Surgery, Surgical Critical Care Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Surgical Critical Care	State: MI \| License: `5101026940` \| Primary: Yes (Primary)
`208600000X` — Surgery Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: MI \| License: `5101026940` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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ASHLEY ARMBRUSTER, D.O. (NPI #1053762211)