Individual provider Active NPI

Laura Lieselotte Lewis, PA-C

  • Physician Assistant
  • New Braunfels, TX
National Provider Identifier
1245781509
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109951 Issued in FL
Practice address
555 Creekside Xing
New Braunfels, TX 78130-2594
Phone
(210) 771-6181
NPI assigned
Oct 20, 2016
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109951 FL Primary

Addresses

Primary practice location

555 Creekside Xing
New Braunfels, TX 78130-2594

Mailing address

9601 Demona CV
Austin, TX 78733-1681
Phone (512) 423-1732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190917000368 TX Practitioner - Physician Assistant 5496037558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Braunfels Critical Care PLLCGroup PAC ID 7012348634, 4 clinicians

Practice addresses (Care Compare)

555 Creekside Xing
New Braunfels, TX 78130-2594

9601 Demona CV
Austin, TX 78733-1681
Phone (512) 423-1732

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.32 of 100Reported as group
Quality
75.23
Promoting interoperability
99
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frank Mazza, MD PA CurrentSince May 25, 2025 Accepting new patients
Elan Elite Past Accepting new patients

Locations

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

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 1

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": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1245781509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 DEMONA CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787331681",
            "telephone_number": "512-423-1732",
            "fax_number": "512-328-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CREEKSIDE XING",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302594",
            "telephone_number": "210-771-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LAURA",
        "middle_name": "LIESELOTTE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.