Individual provider Active NPI

Miranda Jean Leilani Lewis, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1215633862
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3018687 Issued in KY
Practice address
9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812
Phone
(833) 510-4357
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 3018687 KY Primary

Addresses

Primary practice location

9702 Stonestreet Rd Ste 120
Louisville, KY 40272-6812

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other names 1

  • Miranda Jean Leilani Jansing Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20230223002016 KY Practitioner - Nurse Practitioner 9931572856 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

9702 Stonestreet Rd
Suite 120
Louisville, KY 40272-6812
Phone (833) 510-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince May 1, 2023 Accepting new patients
Brightview LLC CurrentSince Feb 6, 2025 Accepting new patients
Brightview, LLC CurrentSince Feb 6, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2023 Accepting new patients
Infinity Care Plus Inc CurrentSince Aug 1, 2024 Accepting new patients
PPL Therapeutic Services PLLC CurrentSince Jan 16, 2023 Accepting new patients
Brightview LLC Past Accepting new patients

Locations

534 Hillcrest Dr
Brandenburg, KY 40108
Phone (270) 422-5000

830 W Broadway St
Campbellsville, KY 42718
Phone (270) 849-4938

96 Future Dr
Corbin, KY 40701

1610 Madison Ave
Covington, KY 41011

201 Harmony Way
Elizabethtown, KY 42701
Phone (270) 506-0798

4135 Dixie Hwy
Elsmere, KY 41018
Phone (855) 510-4357

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

1154A Lexington Rd
Georgetown, KY 40324
Phone (502) 868-0008

621 Happy Valley Rd
Glasgow, KY 42141
Phone (270) 398-7634

320 Morton Blvd
Hazard, KY 41701
Phone (606) 487-8383

500 N Green St
Henderson, KY 42420

575 W Main St
Lexington, KY 40507

2645 N Laurel Rd
#A
London, KY 40741

4205 Dixie Hwy
Louisville, KY 40216
Phone (714) 786-5227

9702 Stonestreet Rd
Ste 120
Louisville, KY 40272
Phone (502) 749-6249

9 E Arch St
Madisonville, KY 42431
Phone (270) 491-3942

506 N Main St
Nicholasville, KY 40356
Phone (859) 887-3712

506 N Main St
Ste A
Nicholasville, KY 40356
Phone (606) 887-3140

2202 Martin Luther King Jr Blvd
Paris, KY 40361
Phone (833) 510-5173

3911 N Mayo Trl
Pikeville, KY 41501

6301 Bass Rd
River Bluff, KY 40059
Phone (502) 228-8359

30 Medpark Square Dr
Ste 2
Somerset, KY 42503

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

Organizations & group practices 7

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1215633862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9702 STONESTREET RD STE 120",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402726812",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MIRANDA",
        "middle_name": "JEAN LEILANI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3018687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "JANSING",
            "middle_name": "JEAN LEILANI",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.