Active NPI
Jessica Lynn Lewis, CRNA
- Certified Registered Nurse Anesthetist
- West Allis, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4373-033
- Practice address
- 8901 W Lincoln Ave
West Allis, WI 53227-2409 - Phone
- (414) 328-7200
- NPI assigned
- Sep 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4373-033 | WI | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 4704242414 | MI |
Addresses
Primary practice location
8901 W Lincoln Ave
West Allis, WI 53227-2409
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245489145 | Medicaid | WI | |
| 100013521 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | jlewis180177@direct.myadvocateaurora.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Doctors CT
Oshkosh, WI 54901-2025
Phone (920) 236-3550
8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone (414) 329-5930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4373-033 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Anesthesia Services of the Fox Valley SC | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
4648 W Spencer St
Appleton, WI 54914
Phone (920) 731-7557
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
1380 Tullar Rd
Neenah, WI 54956
Phone (920) 205-0379
130 2nd St
#A107
Neenah, WI 54956
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
501 Doctors Ct
Oshkosh, WI 54901
Phone (608) 829-7777
4025 N 92nd St
Wauwatosa, WI 53222
Phone (414) 358-5431
8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Oshkosh, WI
- NPI 1750385597
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1245489145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 W LINCOLN AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272409",
"telephone_number": "414-328-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JESSICA",
"middle_name": "LYNN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-16",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "4373-033",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704242414",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245489145",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100013521",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "8901 W Lincoln Ave",
"city": "West Allis",
"state": "WI",
"country_code": "US",
"postal_code": "532272409",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlewis180177@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "8901 W Lincoln Ave",
"city": "West Allis",
"state": "WI",
"country_code": "US",
"postal_code": "532272409",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.