DR. MICA JILL INGRAM AU.D.
NPI 1720274061
Audiologist in Lewisville, TX
About Dr. Mica Jill Ingram Au.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICA JILL INGRAM AU.D. (NPI 1720274061) is an individual audiologist in Lewisville, Texas, licensed in Texas (51740) and active in the NPI registry since September 2007. She maintains a secondary practice location in Lewisville and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mica Jill Ingram Au.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Mica Ingram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Irving, TX 75063
- Reassigned Medicare billing, Texas enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mica Ingram's NPI number?
The NPI number for Mica Ingram is 1720274061. It was assigned to this individual provider in the NPPES registry on September 20, 2007.
Where is Mica Ingram located?
Mica Ingram practices at 405 State Highway 121 Suite A250, Lewisville, TX 75067. The listed phone number is (214) 491-2359.
What is Mica Ingram's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Mica Ingram enrolled in Medicare?
Yes. Mica Ingram 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.
Which organization bills Medicare for Mica Ingram's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mica Ingram reassigns Medicare benefits to Irving Coppell Ear, Nose & Throat (Irving, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mica Ingram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mica Ingram was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Mica Jill Ingram, AU.D. · NPI 1720274061
Audiologist provider in Lewisville, Texas. Individual provider, active in the CMS NPPES registry since September 20, 2007.
## Identity
- **NPI:** 1720274061 (Entity type: Individual)
- **Enumerated:** September 20, 2007
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** 51740 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 405 STATE HIGHWAY 121, SUITE A250, Lewisville, TX 75067
- **Phone:** (214) 491-2359
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Irving Coppell Ear, Nose & Throat (NPI 1144412990, Irving, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** July 9, 2018
- **Other identifiers:** Medicaid 211151001 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1720274061) · Data from the CMS NPPES public registry.