Marsha Lewis, ARNP
Individual provider Active NPI Family Nurse Practitioner · Ulysses, KS
NPI 1245225804 · NPPES record last updated Apr 2, 2024
Key facts
- NPI
- 1245225804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 44876 (KS)
- Practice address
- 113 S Main St Ste a
Ulysses, KS 67880-2519 - Phone
- (620) 356-2432
- NPI assigned
- Sep 20, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- United Methodist Western Kansas Mexican-American Ministries, Inc.
Practice addresses (Care Compare)
712 A Saint John St
Garden City, KS 67846-5128
Phone (620) 275-1766
Hospital & facility affiliations
- St. Catherine Hospital - Garden City
- Bob Wilson Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180426002888 | KS | Practitioner - Nurse Practitioner | 7416211404 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44876 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Methodist Western Kansas Mexican-American Ministries, Inc. | Current |
Accepting new patients | |
| United Methodist Western Kansas Mexican-American Ministries, Inc. | Family Medicine | Current |
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
712A Saint John St
Garden City, KS 67846
Phone (620) 275-1766
712 Saint John St
#A
Garden City, KS 67846
Phone 6202751766 ext. 224
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 44876 | KS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161288 | Other | KS | BC/BS PROVIDER NUMBER |
Other providers in Ulysses, KS
- Jeffrey L Menzie
- Douglas Edward Johnson
- Kansas Neonatology Services PA
- Laura Kasi
- Thim Khamphouvong
- Maple Dental, LLC
- Theodore Joseph Maple
- Mark Gerstberger DO LLC
- Melissa Linn Martinez
- Holly Meyers
All providers in Ulysses, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.