Individual provider Active NPI

Marsha Lewis, ARNP

  • Family Nurse Practitioner
  • Ulysses, KS
National Provider Identifier
1245225804
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
44876 Issued in KS
Practice address
113 S Main St Ste a
Ulysses, KS 67880-2519
Phone
(620) 356-2432
NPI assigned
Sep 20, 2005
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 44876 KS Primary

Addresses

Primary practice location

113 S Main St Ste a
Ulysses, KS 67880-2519

Mailing address

1104 N Sunset
Syracuse, KS 67878
Phone (620) 384-5439

Other practice location 1

712 Saint John St
Suite A
Garden City, KS 67846-5128
Phone (620) 275-1766 ext. 224

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180426002888 KS Practitioner - Nurse Practitioner 7416211404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

712 A Saint John St
Garden City, KS 67846-5128
Phone (620) 275-1766

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
44876KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Methodist Western Kansas Mexican-American Ministries, Inc. Family Medicine CurrentSince Mar 21, 2018 Accepting new patients
United Methodist Western Kansas Mexican-American Ministries, Inc. CurrentSince Mar 21, 2018 Accepting new patients
United Methodist Western Kansas Mexican American Ministries,Inc. Past Accepting new patients

Locations

1700 Avenue F
Dodge City, KS 67801
Phone (620) 225-6821

712 Saint John St
#A
Garden City, KS 67846
Phone 6202751766 ext. 224

712A Saint John St
Garden City, KS 67846
Phone (620) 275-1766

2330 N Kansas Ave
Liberal, KS 67901
Phone (620) 624-0463

113 S Main St
Ste E
Ulysses, KS 67880
Phone (620) 356-2432

415 N Main St
Ulysses, KS 67880
Phone (620) 356-1266

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1245225804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N SUNSET",
            "city": "SYRACUSE",
            "state": "KS",
            "postal_code": "67878",
            "telephone_number": "620-384-5439",
            "fax_number": "620-274-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S MAIN ST STE A",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678802519",
            "telephone_number": "620-356-2432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 Saint John St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465128",
            "country_code": "US",
            "telephone_number": "620-275-1766 x224",
            "fax_number": "620-275-4729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARSHA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "44876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ulysses, KS

Sources for this page

Verify at the official NPI Registry.