Karen Lynn Lewis, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Rochelle, GA
NPI 1306194576 · NPPES record last updated Apr 18, 2013
Key facts
- NPI
- 1306194576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- RN180944 (GA)
- Practice address
- 636 2ND Ave
Rochelle, GA 31079-2046 - Phone
- (229) 365-2570
- Fax
- (229) 365-2571
- NPI assigned
- Aug 20, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastern Aleutian Tribes, Inc.
Practice addresses (Care Compare)
2105 Main St
Adak, AK 99546-2105
Phone (907) 592-8383
49 Main St
False Pass, AK 99583-0049
Phone (907) 548-2742
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in GA, AK, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141217001246 | GA | Practitioner - Nurse Practitioner | 5890937726 | Reassigns benefits to 1 organization |
| I20190408002452 | AK | Practitioner - Nurse Practitioner | 5890937726 | Reassigns benefits to 2 organizations |
| I20230613001642 | TX | Practitioner - Nurse Practitioner | 5890937726 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN180944 | GA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Municipality of Skagway | Current |
Accepting new patients | |
| Eastern Aleutian Tribes, Inc | Current |
Accepting new patients | |
| Camai Community Health Center, Inc. | Current |
Accepting new patients | |
| Tanana Chiefs Conference | Current |
Accepting new patients | |
| Peachtree Immediate Care FP, LLC | Current |
Accepting new patients | |
| Tanana Chiefs Conference | Current |
Accepting new patients | |
| Alaska Imaging Associates, LLC | Past | Accepting new patients | |
| Eastern Aleutian Tribes, Inc | Past | Accepting new patients |
Locations
3380 C St
Ste 100
Anchorage, AK 99503
Phone (907) 277-1440
3380 C St
Ste 107
Anchorage, AK 99503
Phone (907) 277-1440
590 Lanier Ave W
Fayetteville, GA 30214
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
4327 Hugh Howell Rd
Tucker, GA 30084
Phone (404) 292-8335
Interoperability endpoints
- karen.lewis.p1@direct.crossroadmc.nextgenshare.com
- https://api.platform.athenahealth.com/20726/brand/1/csg/1/fhir/r4
- karen.lewis.1@20726.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN180944 | GA | Yes |
Addresses
Primary practice location
636 2ND Ave
Rochelle, GA 31079-2046
Mailing address
636 2ND Ave
Rochelle, GA 31079-2046
Phone (229) 365-2570
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003127311B | Medicaid | GA |
Other providers in Rochelle, GA
- Randall Benjamin Forehand
- Michael Kristopher Frazier
- High Cotton Homes, LLC
- Teresa Maraman Holmes
- Cindy Keene
- Lori Alexandra Little
- Rochelle Dental
- Rochelle Drug Company
- Taylor Regional Hospital
- Taylor Regional Hospital
All providers in Rochelle, GA · Adult Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.