Active NPI
Sierra Lewellen, MSPAS, PA-C
- Physician Assistant
- Zanesville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.004767RX
- Practice address
- 955 Bethesda Dr FL 1
Physician Pavilion
Zanesville, OH 43701-1873 - Phone
- (740) 454-0804
- NPI assigned
- Aug 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.004767RX | OH | Primary |
Addresses
Primary practice location
955 Bethesda Dr FL 1
Physician Pavilion
Zanesville, OH 43701-1873
Mailing address
1130 Hideaway LN
Zanesville, OH 43701-7750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000
945 Bethesda Dr
Zanesville, OH 43701-1880
955 Bethesda Dr
Zanesville, OH 43701-1873
Phone (740) 450-6147
Hospital & facility affiliations
- Genesis Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Medical Group LLC | Current | Accepting new patients | |
| Genesis Medical Group, LLC | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Health First Medical Center | Past | Accepting new patients |
Locations
61353 Southgate Rd
Ste 3
Cambridge, OH 43725
Phone (740) 450-3296
1325 Clark St
Cambridge, OH 43725
Phone (740) 630-9708
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
48439 Genesis Dr
Ste F
Coshocton, OH 43812
Phone (740) 623-4481
301 Mike Clouse Dr
#2A
Somerset, OH 43783
Phone (740) 836-0035
945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038
955 Bethesda Dr
Fl 1
Zanesville, OH 43701
Phone (740) 454-0804
945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788
Interoperability endpoints
- https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- General Practice Physician
- Zanesville, OH
- NPI 1063663433
-
- Family Nurse Practitioner
- Columbus, OH
- NPI 1750760849
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Durable Medical Equipment & Medical Supplies
- Coshocton, OH
- NPI 1144022187
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- Family Medicine Physician
- Gahanna, OH
- NPI 1760940316
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1154876845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 HIDEAWAY LN",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437017750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 BETHESDA DR FL 1",
"address_2": "PHYSICIAN PAVILION",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011873",
"telephone_number": "740-454-0804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWELLEN",
"first_name": "SIERRA",
"credential": "MSPAS, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-23",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.004767RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.