Individual provider Active NPI

Jodi Ann Lewis, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Reading, PA
National Provider Identifier
1194589101
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP029263 Issued in PA
Practice address
1800 N 12TH St
Reading, PA 19604-1545
Phone
(610) 816-5728
NPI assigned
Feb 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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 SP029263 PA Primary

Addresses

Primary practice location

1800 N 12TH St
Reading, PA 19604-1545

Mailing address

1800 N 12TH St
Reading, PA 19604-1545
Phone (610) 816-5728

Other practice location 1

2395 Lancaster Pike
Reading, PA 19607-2375
Phone (610) 697-9882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240315001637 PA Practitioner - Nurse Practitioner 9335585058 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Guidance CenterGroup PAC ID 1850291303, 22 clinicians

Practice addresses (Care Compare)

1105 Berkshire Blvd
Ofc 110
Wyomissing, PA 19610-1249
Phone (610) 374-4963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP029263PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Psychiatric & Behavioral Health Services, PLLC Psychiatric/Mental Health CurrentSince Mar 4, 2024 Accepting new patients
Family Guidance Center CurrentSince May 23, 2024 Accepting new patients
Shared Path Mental Health & Preceptorship LLC Psychiatric/Mental Health Current Accepting new patients
Haven Behavioral Services of Reading, LLC CurrentSince May 21, 2024 Accepting new patients
Millmark Health Inc. PastSince Apr 19, 2020 Accepting new patients

Locations

1800 N 12th St
Reading, PA 19604
Phone (610) 375-0544

1800 N 12th St
Ste 2
Reading, PA 19604
Phone (610) 816-5728

716 N Park Rd
Wyomissing, PA 19610
Phone (610) 375-0544

1105 Berkshire Blvd
Ofc 110
Wyomissing, PA 19610
Phone (610) 374-4963

3102 West End Ave
Ste 1000
Nashville, TN 37203

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.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1194589101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N 12TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041545",
            "telephone_number": "610-816-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N 12TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041545",
            "telephone_number": "610-816-5728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2395 Lancaster Pike",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196072375",
            "country_code": "US",
            "telephone_number": "610-697-9882",
            "fax_number": "610-365-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JODI ANN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.