Individual provider Active NPI

Joanna Marie Lewis, FNP

  • Family Nurse Practitioner
  • Hermiston, OR
National Provider Identifier
1063147155
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202210803NP-PP Issued in OR
Practice address
610 NW 11TH St Ste E-19
Hermiston, OR 97838-6601
Phone
(541) 667-3834
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202210803NP-PP OR Primary

Addresses

Primary practice location

610 NW 11TH St Ste E-19
Hermiston, OR 97838-6601

Mailing address

2181 N Ott Rd
Hermiston, OR 97838-7527
Phone (503) 550-5513

Other practice location 1

2181 N Ott Rd
Hermiston, OR 97838-7527
Phone (503) 550-5513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20221111000498 OR Practitioner - Nurse Practitioner 7618344201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
64.68
Promoting interoperability
100
Improvement activities
40
Cost
47.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202210803NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Health Care System CurrentSince Sep 1, 2022 Accepting new patients
Good Shepherd Health Care System CurrentSince Sep 1, 2022 Accepting new patients

Locations

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

620 NW 11th St
Ste M102
Hermiston, OR 97838
Phone (541) 289-4120

610 NW 11th St
Ste E19
Hermiston, OR 97838

1050 W Elm Ave
Ste 110
Hermiston, OR 97838
Phone (541) 564-6411

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

Interoperability endpoints

  • Direct secure messaging: jlewis969489@direct.lhs.org

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": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1063147155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 N OTT RD",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978387527",
            "telephone_number": "503-550-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 NW 11TH ST STE E-19",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386601",
            "telephone_number": "541-667-3834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2181 N Ott Rd",
            "address_purpose": "LOCATION",
            "city": "Hermiston",
            "state": "OR",
            "postal_code": "978387527",
            "country_code": "US",
            "telephone_number": "503-550-5513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JOANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202210803NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

Verify at the official NPI Registry.