Individual provider Active NPI

Cynthia Kuan Lewis, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1053081869
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1096572 Issued in TX
Practice address
403 E 15TH St
Austin, TX 78701-1437
Phone
(512) 804-3551
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 785696 TX
Family Nurse Practitioner 363LF0000X 1096572 TX Primary

Addresses

Primary practice location

403 E 15TH St
Austin, TX 78701-1437

Mailing address

1430 Collier St
Austin, TX 78704-2911
Phone (512) 472-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230114000049 TX Practitioner - Nurse Practitioner 0143691998 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason Martin Medical Consulting LLCGroup PAC ID 8325289812, 51 clinicians

Practice addresses (Care Compare)

208 Bella Colinas Dr
Austin, TX 78738-7631
Phone (512) 840-1158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
785696TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aco Jason Martin Medical Consulting CurrentSince Sep 25, 2025 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Dec 12, 2022 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Dec 12, 2022 Accepting new patients
Jason Martin Medical Consulting LLC CurrentSince Feb 15, 2024 Accepting new patients

Locations

403 E 15th St
Austin, TX 78701
Phone (512) 445-7783

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

1165 Airport Blvd
Austin, TX 78702
Phone (512) 703-1312

5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141

1373 N Avenue C
Elgin, TX 78621
Phone (512) 285-2457

521 S Heatherwilde Blvd
Pflugerville, TX 78660
Phone (512) 251-9978

Organizations & group practices 4

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1053081869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 COLLIER ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042911",
            "telephone_number": "512-472-4357",
            "fax_number": "512-703-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E 15TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011437",
            "telephone_number": "512-804-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CYNTHIA",
        "middle_name": "KUAN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "785696",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1096572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.