Individual provider Active NPI

Anna Christance Lewis, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dawson, MN
National Provider Identifier
1124795596
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8454 Issued in MN
Practice address
1294 Locust St
Dawson, MN 56232-2326
Phone
(320) 769-4323
Fax
(320) 769-2972
NPI assigned
Aug 24, 2021
Last updated
Aug 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8454 MN Primary

Addresses

Primary practice location

1294 Locust St
Dawson, MN 56232-2326

Mailing address

1294 Locust St
Dawson, MN 56232-2326
Phone (320) 769-4323

Other names 1

  • Anna Huseby Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20211004001848 MN Practitioner - Nurse Practitioner 8820496920 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Memorial Health ServicesGroup PAC ID 5395653836, shared by 5 NPIs, 17 clinicians
Lac Qui Parle Clinic of Madison IncGroup PAC ID 5799727707, 15 clinicians

Practice addresses (Care Compare)

1282 Walnut St
Dawson, MN 56232-2333
Phone (320) 769-4323

900 2ND Ave
Madison, MN 56256-1006
Phone 32059875517158

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8454MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Health Services Current Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Aug 30, 2021 Accepting new patients
Johnson Memorial Health Services CurrentSince Sep 1, 2021 Accepting new patients
Johnson Memorial Health Services Current Accepting new patients
Johnson Memorial Health Services CurrentSince Sep 1, 2021 Accepting new patients
Madison Healthcare Services Current Accepting new patients

Locations

1282 Walnut St
Dawson, MN 56232
Phone (320) 769-4323

900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536

Interoperability endpoints

  • Direct secure messaging: alewis588236@direct.centracare.com

Organizations & group practices 6

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1124795596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 LOCUST ST",
            "city": "DAWSON",
            "state": "MN",
            "postal_code": "562322326",
            "telephone_number": "320-769-4323",
            "fax_number": "320-769-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 LOCUST ST",
            "city": "DAWSON",
            "state": "MN",
            "postal_code": "562322326",
            "telephone_number": "320-769-4323",
            "fax_number": "320-769-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ANNA",
        "middle_name": "CHRISTANCE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "8454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "HUSEBY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dawson, MN

Sources for this page

Verify at the official NPI Registry.