NATHAN J AMBROSE PA
NPI 1326694076
Physician Assistant - Surgical in Lafayette, LA

Active since August 16, 2019PECOS EnrolledAccepts Medicare Assignment
5000 AMBASSADOR CAFFERY PKWY STE A, LAFAYETTE, LA 70508(337) 470-3580(337) 470-3586 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Nov 9, 2020, Aug 16, 2019 (3 updates tracked since 2019).

About Nathan J Ambrose Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN J AMBROSE PA (NPI 1326694076) is an individual surgical provider in Lafayette, Louisiana, licensed in Louisiana (324792) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Regional Medical Center, Inc, and maintains a secondary practice location in Suwanee.

NPPES Registry Identity

NPI1326694076
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameNATHAN J AMBROSECredential: PA
Location Address5000 AMBASSADOR CAFFERY PKWY STE ALafayette, LA 70508-6984
Mailing Address1132 Gather DrLawrenceville, GA 30043-7549 · (810) 625-4218
Fax(337) 470-3586
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 16, 2019
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
NPI 1326694076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in LA · 324792
5000 AMBASSADOR CAFFERY PKWY STE A, Lafayette, LA 70508

Secondary Practice Location 1

Location 1625 Old Peachtree Rd NWSuwanee, GA 30024-2937 · Phone (810) 625-4218

Other Identifiers 2

Other058924-PALA · Cds
Other324792LA · State License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nathan J Ambrose Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072923408
PECOS Enrollment IDI20201113000393, I20230814003866
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
26 services26 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
26 services26 patients
Exclusion of appendage of left upper chamber of heart performed during other procedure on chest 33268
This is a procedure done on the heart's left upper chamber (atrium). The small pouch-like appendage is sealed off during another chest procedure. This is done to reduce the risk of blood clots forming and causing strokes.
18 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of Lourdes Regional Medical Center, Inc

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190102
Location4801 Ambassador Caffery ParkwayLafayette, LA 70508 · Lafayette County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine (Emergency Medical Services)
5000 AMBASSADOR CAFFERY PKWY STE A
LAFAYETTE, LA 70508

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Ambrose's NPI number?

The NPI number for Nathan Ambrose is 1326694076. It was assigned to this individual provider in the NPPES registry on August 16, 2019.

Where is Nathan Ambrose located?

Nathan Ambrose practices at 5000 Ambassador Caffery Pkwy Ste A, Lafayette, LA 70508. The listed phone number is (337) 470-3580.

What is Nathan Ambrose's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Nathan Ambrose enrolled in Medicare?

Yes. Nathan Ambrose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nathan Ambrose accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Nathan Ambrose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nathan Ambrose affiliated with any hospitals?

According to CMS data, Nathan Ambrose is affiliated with Our Lady Of Lourdes Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Nathan Ambrose was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.