Individual provider Active NPI

William Nathaniel Lewis, PA-C

  • Physician Assistant
  • West Des Moines, IA
National Provider Identifier
1003584640
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
117882 Issued in IA
Practice address
1701 48TH St Ste 110
West Des Moines, IA 50266-6723
Phone
(515) 514-1186
Fax
(833) 428-6868
NPI assigned
Aug 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 117882 IA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1701 48TH St Ste 110
West Des Moines, IA 50266-6723

Mailing address

1701 48TH St Ste 110
West Des Moines, IA 50266-6723
Phone (515) 514-1186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126000818 IA Practitioner - Physician Assistant 7416300470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Psychiatry LLCGroup PAC ID 7810462629, 4 clinicians

Practice addresses (Care Compare)

1701 48TH St
Suite 110
West Des Moines, IA 50266-6723
Phone (515) 514-1186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Psychiatry LLC CurrentSince Feb 23, 2026 Accepting new patients
Central States Medicine, PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1701 48th St
Ste 110
West Des Moines, IA 50266
Phone (515) 331-0303

2425 Westown Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 222-8346

Interoperability endpoints

  • Direct secure messaging: william.lewis.1@32511.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20165/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1003584640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 48TH ST STE 110",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666723",
            "telephone_number": "515-514-1186",
            "fax_number": "833-428-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 48TH ST STE 110",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666723",
            "telephone_number": "515-514-1186",
            "fax_number": "833-428-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "WILLIAM",
        "middle_name": "NATHANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "117882",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.