Active NPI
Amy Renee Lewis, R.N., AGPCNP-BC
- Nurse Practitioner
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP121311
- Practice address
- 2800 E Broad St Ste 517
Mansfield, TX 76063-6417 - Phone
- (817) 592-3360
- Fax
- (817) 549-5151
- NPI assigned
- Jan 20, 2012
- Last updated
- Jul 10, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP121311 | TX | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | AP121311 | TX |
Addresses
Primary practice location
2800 E Broad St Ste 517
Mansfield, TX 76063-6417
Mailing address
2800 E Broad St Ste 517
Mansfield, TX 76063-6417
Phone (817) 592-3360
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6R7554 | Other | TX | GROUP MEDICARE PTAN |
| V0190197 | Other | TX | TEXAS DEPARTMENT OF PUBLIC SAFETY (DPS) CONTROLLED SUBSTANCES REG. |
| BCBS | Other | TX | 8XC231 |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2800 E Broad St
Suite 517
Mansfield, TX 76063-6417
Phone (817) 688-4451
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP121311 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mansfield Neurology Associates PLLC | Current | Accepting new patients |
Locations
2800 E Broad St
Ste 517
Mansfield, TX 76063
Phone (817) 592-3360
Organizations & group practices 1
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.
-
dba Care of Excellence Home Health
- Home Health Agency
- Mansfield, TX
- NPI 1487719001
-
dba Methodist Mansfield Medical Center
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1164793246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 E BROAD ST STE 517",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636417",
"telephone_number": "817-592-3360",
"fax_number": "817-549-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E BROAD ST STE 517",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636417",
"telephone_number": "817-592-3360",
"fax_number": "817-549-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "AMY",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "R.N., AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-20",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP121311",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP121311",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "6R7554",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF PUBLIC SAFETY (DPS) CONTROLLED SUBSTANCES REG.",
"identifier": "V0190197",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "8XC231",
"identifier": "BCBS",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.