DR. MICA JILL INGRAM AU.D.
NPI 1720274061
Audiologist in Lewisville, TX

Active since September 20, 2007Accepts Medicare Assignment
405 STATE HIGHWAY 121, SUITE A250, LEWISVILLE, TX 75067(214) 491-2359 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2018, Aug 15, 2017 (2 updates tracked since 2017).

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

NPI1720274061
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameDR. MICA JILL INGRAMCredential: AU.D.
Location Address405 STATE HIGHWAY 121, SUITE A250Lewisville, TX 75067
Mailing Address400 W Ih 635 Fwy Ste 360Irving, TX 75063-3764 · (972) 402-8404 · Fax (972) 695-8796
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 20, 2007
Last NPPES UpdateJuly 9, 20182 updates tracked since enumeration
NPI 1720274061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Licenses Licensed in TX · 51740 Licensed in IL · 147001032
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
405 STATE HIGHWAY 121, Lewisville, TX 75067

Secondary Practice Location 1

Location 1405 State Highway 121, Suite A250Lewisville, TX 75067 · Phone (214) 491-2359

Other Identifiers 1

Medicaid211151001LA

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

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.

PECOS PAC ID345314910
PECOS Enrollment IDI20080730000412

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.

New Patient
$54.84 typical visit price
range $54.84 – $166.88
Typical copayment $13.71 (range $13.71 – $41.72)
Most-billed visit code 99202
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Case Management
405 STATE HIGHWAY 121, STE A250
LEWISVILLE, TX 75067

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.

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.