Meredith Lee Lewallen, APRN, MSN, BSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

77679 Issued in KS

Practice address

600 Park St # Ll045Mu
Hays, KS 67601

Phone

(785) 628-4293

Fax

(785) 628-4089

NPI assigned

May 12, 2017

Last updated

Jul 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Fort Hays State University

  dba Herndon Clinic

  • Audiologist
  • Hays, KS
  • NPI 1811101454
  Medicare reassignment NPD
• Rooks County Health Center

  dba Docs Without Delay

  • Family Medicine Physician
  • Plainville, KS
  • NPI 1841570298
  Medicare reassignment NPD
• Fort Hays State University

  dba Herndon Clinic

  • Speech-Language Pathologist
  • Hays, KS
  • NPI 1609080001
  NPD
• Fort Hays State University

  dba FHSU Student Health Center

  • Student Health Clinic/Center
  • Hays, KS
  • NPI 1831237528
  NPD
• Rooks County Health Center

  dba Stockton Medical Clinic

  • Rural Health Clinic/Center
  • Stockton, KS
  • NPI 1043040637
  NPD

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1174050785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PARK ST # LL045MU",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676014099",
            "telephone_number": "785-628-4293",
            "fax_number": "785-628-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PARK ST # LL045MU",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "67601",
            "telephone_number": "785-628-4293",
            "fax_number": "785-628-4089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 N. Washington",
            "address_purpose": "LOCATION",
            "city": "Plainville",
            "state": "KS",
            "postal_code": "67663",
            "country_code": "US",
            "telephone_number": "785-434-2622",
            "fax_number": "785-434-2577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Park St # Ll045Mu",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "67601",
            "country_code": "US",
            "telephone_number": "785-628-4293",
            "fax_number": "785-628-4089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWALLEN",
        "first_name": "MEREDITH",
        "middle_name": "LEE",
        "credential": "APRN, MSN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "77679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "PENDING",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madhavi Lekkala, MD
• David K Lenser, M.D.
• Terri Lenser
• Let's Talk Behavior LLC
• Aaron James Leuenberger I, CPTA
• Qiang Li, PH.D.
• Lifetime Dental Care, PA
• Lincare Inc.
• Marian Kay Lindberg, CRNA
• Crystal Lindenman, LSCSW

• Family Nurse Practitioner in Hays, KS
• Providers in Hays, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.