NPIMap

Individual provider Active NPI

Elizabeth P Lewis, MD

  • Family Medicine Physician
  • Quincy, CA
National Provider Identifier
1265711253
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A137502 Issued in CA
Practice address
1065 Bucks Lake Rd
Quincy, CA 95971-9507
Phone
(530) 283-7161
Fax
(530) 283-7953
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 277405-1 NY
Family Medicine Physician 207Q00000X A137502 CA Primary

Addresses

Primary practice location

1065 Bucks Lake Rd
Quincy, CA 95971-9507

Mailing address

1065 Bucks Lake Rd
Quincy, CA 95971-9507
Phone (530) 283-7161

Other names 1

  • Elizabeth P Cleek Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elewis@PDH.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150820012377 CA Practitioner - Family Practice 7911212881 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plumas District HospitalGroup PAC ID 8224930466, 40 clinicians

Practice addresses (Care Compare)

1065 Bucks Lake Rd
Quincy, CA 95971-9507
Phone (530) 283-2121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
137502CAMDMarriage & Family Therapist
A137502CAMDFamily Medicine Physician
277405-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plumas District Hospital CurrentSince Aug 17, 2015 Accepting new patients
Plumas District Hospital CurrentSince Aug 17, 2015 Accepting new patients

Locations

1065 Bucks Lake Rd
Quincy, CA 95971
Phone (530) 283-2121

Interoperability endpoints

  • Direct secure messaging: elewis@pdh.cernerdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1265711253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 BUCKS LAKE RD",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719507",
            "telephone_number": "530-283-7161",
            "fax_number": "530-283-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 BUCKS LAKE RD",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719507",
            "telephone_number": "530-283-7161",
            "fax_number": "530-283-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ELIZABETH",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "277405-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A137502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elewis@PDH.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Plumas District Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1065 Bucks Lake Rd",
            "city": "Quincy",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959719507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CLEEK",
            "middle_name": "P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Quincy, CA

Sources for this page

Verify at the official NPI Registry.