Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa M Ambrosius, AUDCCCASLP

Individual provider Speech-Language Pathologist · NPI 1487632329

Lisa M Ambrosius, AUDCCCASLP is a Qualified Audiologist in Green Bay, Wisconsin. Qualified in 2007, 19 years ago. Practices with St Vincent Hospital-Hospital Sisters-Third Order of St Francis, a 594-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2005
Specialties on file
2

Practice location Address checks out

1715 Dousman St
Green Bay, WI 54303-3211
Phone: (920) 405-1414
Fax: (920) 405-1462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 399156 (WI)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 1899154 (WI)

Record details

NPI number1487632329
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUDCCCASLP
Sole proprietorNo
NPI enumeratedDecember 31, 2005
Last updated in NPPESJune 19, 2020
Certification dateJune 19, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice St Vincent Hospital-Hospital Sisters-Third Order Of St Francis — 594 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay