Individual provider Active NPI

Ryan Lewis

  • Family Nurse Practitioner
  • Fort Scott, KS
National Provider Identifier
1265839690
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
150273 Issued in KS
Practice address
202 State St
Ste a
Fort Scott, KS 66701-2031
Phone
(417) 321-2845
NPI assigned
Dec 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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 150273 KS Primary

Addresses

Primary practice location

202 State St
Ste a
Fort Scott, KS 66701-2031

Mailing address

903 Burke St
Fort Scott, KS 66701-2411
Phone (417) 321-2845

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
I20150121001734 KS Practitioner - Nurse Practitioner 9436317799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fort Scott Family Medicine PAGroup PAC ID 5991737512, 2 clinicians

Practice addresses (Care Compare)

202 State St
Suite a
Fort Scott, KS 66701-2031

202 State St
Suite a
Fort Scott, KS 66701-2067
Phone (620) 223-3950

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150273KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Scott Family Medicine, P.a. CurrentSince Jul 5, 2011 Accepting new patients
Fort Scott Family Medicine Family Past Accepting new patients

Locations

202 State St
Ste A
Fort Scott, KS 66701
Phone (620) 223-3950

Interoperability endpoints

  • Direct secure messaging: rlewis@fsfmp-ks.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1265839690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BURKE ST",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667012411",
            "telephone_number": "417-321-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 STATE ST",
            "address_2": "STE A",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667012031",
            "telephone_number": "417-321-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "150273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Scott, KS

Sources for this page

Verify at the official NPI Registry.