LISA AMBROSE NP
NPI 1902279029
Nurse Practitioner - Adult Health in East Setauket, NY
About Lisa Ambrose Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA AMBROSE NP (NPI 1902279029) is an individual adult health provider in East Setauket, New York, licensed in New York (F307463-1) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Ambrose Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Lisa Ambrose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Setauket, NY 11733
- Reassigned Medicare billing, New York enrollment
- 68 clinicians in this Medicare group
Port Jefferson, NY 11777
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1467249334 (New York)
- 232 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 11733 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
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 Lisa Ambrose's NPI number?
The NPI number for Lisa Ambrose is 1902279029. It was assigned to this individual provider in the NPPES registry on November 11, 2015.
Where is Lisa Ambrose located?
Lisa Ambrose practices at 4 Technology Dr Suite 120, East Setauket, NY 11733. The listed phone number is (631) 246-8289.
What is Lisa Ambrose's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Lisa Ambrose enrolled in Medicare?
Yes. Lisa Ambrose is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lisa Ambrose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Ambrose reassigns Medicare benefits to 2 organizations: Harbor View Medical Services PC (East Setauket, NY) and John T. Mather Memorial Hospital (Port Jefferson, NY). Each 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 Lisa Ambrose'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 Lisa Ambrose was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Lisa Ambrose, NP · NPI 1902279029
Adult Health physician in East Setauket, New York. Individual provider, active in the CMS NPPES registry since November 11, 2015.
## Identity
- **NPI:** 1902279029 (Entity type: Individual)
- **Enumerated:** November 11, 2015
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F307463-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4 TECHNOLOGY DR, SUITE 120, East Setauket, NY 11733-4080
- **Phone:** (631) 246-8289
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Harbor View Medical Services PC (NPI 1255741153, East Setauket, NY); John T. Mather Memorial Hospital (NPI 1285920231, Port Jefferson, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1902279029) · Data from the CMS NPPES public registry.