Rebecca G Lewis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP108276 Issued in TX

Practice address

4114 McKnight Rd Ste C
Texarkana, TX 75503-1086

Phone

(501) 492-0099

Fax

(479) 968-1673

NPI assigned

Jul 10, 2006

Last updated

Feb 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Icare Pro of Texas Aco Billing Professional AssociationGroup PAC ID 0143681940, 13 clinicians

Icarepro of Texas, PAGroup PAC ID 2365811767, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Icare Pro of Texas Aco Billing Professional Association

  • Nurse Practitioner
  • Texarkana, TX
  • NPI 1568146561
  Medicare reassignment Care Compare group NPD
• Icarepro of Texas, PA

  • Clinical Nurse Specialist
  • Texarkana, TX
  • NPI 1396193066
  Medicare reassignment Care Compare group NPD
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Texarkana, TX
  • NPI 1689487381
  Medicare reassignment NPD
• Big Bend Family Practice

  • Family Medicine Physician
  • Alpine, TX
  • NPI 1225463565
  Authorized official Same address or phone
• Rebecca Lewis

  • Family Health Clinical Nurse Specialist
  • Alpine, TX
  • NPI 1225216575
  NPD (past) Authorized official
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Ridgeland, MS
  • NPI 1992518591
  NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1306870811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1805",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798311805",
            "telephone_number": "432-837-9887",
            "fax_number": "432-837-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 MCKNIGHT RD STE C",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031086",
            "telephone_number": "501-492-0099",
            "fax_number": "479-968-1673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 E LOCKHART AVE",
            "address_purpose": "LOCATION",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798304906",
            "country_code": "US",
            "telephone_number": "432-837-9887",
            "fax_number": "432-837-5476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4140 McKnight Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755030921",
            "country_code": "US",
            "telephone_number": "855-498-6767",
            "fax_number": "479-968-1673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "REBECCA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP108276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172331402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID THSTEPS",
            "identifier": "172331403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy L Leonard, MD
• Emily Lester
• Bambi Ashanti Levingston, OTR
• Lewis C Cook MD PA
• Olivia Lewis
• Tami Lewis, LPC
• Jessie Liang, MD
• Liberty Eylau Independent School District
• Lifecare Medical Supply, Inc.
• Lifenet, Inc. (Lifenet)

• Family Nurse Practitioner in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.