Lisa M Lewis, PA-C

Individual provider Active NPI Physician Assistant · Silver Spring, MD

NPI 1285648725 · NPPES record last updated Nov 2, 2023

Key facts

NPI
1285648725
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
C0004347 (MD)
Practice address
1400 Forest Glen Rd
Suite 525
Silver Spring, MD 20910-1459
Phone
(301) 593-8101
Fax
(301) 593-1537
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLC (281 clinicians)

Practice addresses (Care Compare)

1400 Forest Glen Rd
Suite 525
Silver Spring, MD 20910-1466
Phone (301) 593-8101

7350 Van Dusen Rd
Suite 470
Laurel, MD 20707-5232
Phone (301) 490-8882

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100 (group)
Quality
7.9
Improvement activities
40
Cost
79.19

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20101230000023 DC Practitioner - Physician Assistant 6103713417 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women'S Care, L.L.C. Past
since Oct 27, 2024
Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lisa.lewis.p2@direct.cwcare.nextgenshare.com
  • Direct secure messaging: lisa.lewis.p1@direct.cwcare.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X C0004347 MD
Physician Assistant 363A00000X C0004347 MD Yes

Addresses

Primary practice location

1400 Forest Glen Rd
Suite 525
Silver Spring, MD 20910-1459

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Other practice location 1

7350 Van Dusen Rd Ste 460
Laurel, MD 20707-5232
Phone (301) 490-8882

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address lisa.lewis.p2@direct.cwcare.nextgenshare.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 2, 2023.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1285648725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339",
            "fax_number": "301-340-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 FOREST GLEN RD",
            "address_2": "SUITE 525",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101459",
            "telephone_number": "301-593-8101",
            "fax_number": "301-593-1537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7350 Van Dusen Rd Ste 460",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207075232",
            "country_code": "US",
            "telephone_number": "301-490-8882",
            "fax_number": "301-490-8889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "C0004347",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.lewis.p2@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1400 Forest Glen Rd",
            "address_2": "Suite 525",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209101459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silver Spring, MD

All providers in Silver Spring, MD · Physician Assistant in Maryland

Sources for this page

Verify at the official NPI Registry.