Individual provider Active NPI

Karen Lynn Lewis, NP

  • Adult Health Nurse Practitioner
  • Rochelle, GA
National Provider Identifier
1306194576
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN180944 Issued in GA
Practice address
636 2ND Ave
Rochelle, GA 31079-2046
Phone
(229) 365-2570
Fax
(229) 365-2571
NPI assigned
Aug 20, 2012
Last updated
Apr 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN180944 GA Primary

Addresses

Primary practice location

636 2ND Ave
Rochelle, GA 31079-2046

Mailing address

636 2ND Ave
Rochelle, GA 31079-2046
Phone (229) 365-2570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AK, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Aleutian Tribes, Inc.Group PAC ID 2860301884, 34 clinicians

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 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Municipality of Skagway CurrentSince Sep 11, 2023 Accepting new patients
Eastern Aleutian Tribes, Inc CurrentSince Oct 2, 2025 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Aug 6, 2024 Accepting new patients
Camai Community Health Center, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Tanana Chiefs Conference CurrentSince Dec 31, 2023 Accepting new patients
Tanana Chiefs Conference CurrentSince Dec 31, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/20726/brand/1/csg/1/fhir/r4
  • Direct secure messaging: karen.lewis.1@20726.direct.athenahealth.com
  • Direct secure messaging: karen.lewis.p1@direct.crossroadmc.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1306194576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 2ND AVE",
            "city": "ROCHELLE",
            "state": "GA",
            "postal_code": "310792046",
            "telephone_number": "229-365-2570",
            "fax_number": "229-365-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 2ND AVE",
            "city": "ROCHELLE",
            "state": "GA",
            "postal_code": "310792046",
            "telephone_number": "229-365-2570",
            "fax_number": "229-365-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-20",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN180944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle, GA

Sources for this page

Verify at the official NPI Registry.