CMS-1500 Box 24J / 33a • NPI
1487632329
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
231H00000X (CMS 64)
Licensed & Credentialed Speech, Language and Hearing Service Providers — Audiologist
Box 32 Service Location & ZIP+4
1715 DOUSMAN ST, GREEN BAY, WI, 54303-3211
✓ 9-Digit EDI 837 ZIP+4 (54303-3211)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1487632329 (LISA M AMBROSIUS, AuD CCCASLP) 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
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1487632329)
Medicare Beneficiaries
107
Total Billed Services
219
Distinct CPT/HCPCS Codes
14
Medicare Allowed Total
$10,991.03
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
92557 | Comprehensive hearing and speech recognition test | 71 |
92567 | Test to assess middle ear function | 57 |
92604 | Analysis and reprogramming of inner ear implant (7 years or older) | 61 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1487632329 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LISA M AMBROSIUS, AuD CCCASLP |
| Plain-English Specialty | Licensed & Credentialed Speech, Language and Hearing Service Providers — Audiologist NUCC Code: 231H00000X (Audiologist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1715 DOUSMAN ST, GREEN BAY, WI, 54303-3211 |
| Practice Telephone / Fax | Tel: (920) 405-1414 | Fax: (920) 405-1462 |
| Administrative Mailing Address | 3200 SHORE DR, MARINETTE, WI, 54143-4292 |
| Enumeration & Last Sync | Enumerated: 2005-12-31 | CMS Record Updated: 2020-06-19 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (231H00000X)
What Does Taxonomy Code 231H00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 231H00000X translates to:
"Licensed & Credentialed Speech, Language and Hearing Service Providers — Audiologist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LISA M AMBROSIUS, AuD CCCASLP)
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
- 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 |
|---|---|
235Z00000X — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers | State: WI | License: 1899154 | Primary: Secondary |
231H00000X — AudiologistPlain English: Licensed & Credentialed Speech, Language and Hearing Service Providers — Audiologist | State: WI | License: 399156 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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