Individual provider Active NPI

Andrea Lewis, APRN- FNP

  • Nurse Practitioner
  • Eagle River, AK
National Provider Identifier
1316253990
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
156904 Issued in AK
Practice address
11723 Old Glenn Hwy Ste 213
Eagle River, AK 99577-7750
Phone
(907) 854-6877
Fax
(888) 892-4144
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26350 AK
Nurse Practitioner 363L00000X 156904 AK Primary

Addresses

Primary practice location

11723 Old Glenn Hwy Ste 213
Eagle River, AK 99577-7750

Mailing address

PO Box 672154
Chugiak, AK 99567-2154
Phone (907) 854-6877

Other practice location 1

21249 Old Glenn Highway (Mobile Practice)
Chugiak, AK 99567
Phone (907) 854-6877

Other identifiers 2

IdentifierTypeStateIssuer
156904OtherAKSTATE OF ALASKA NURSING BOARD ANP LICENSE
NURR26350OtherAKSTATE OF ALASKA NURSING BOARD RN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20200708000742 AK Practitioner - Nurse Practitioner 7911320098 Reassigns benefits to 1 organization
Practice locations: Chugiak, AK

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11723 Old Glenn Hwy
Suite 213
Eagle River, AK 99577-7750
Phone (205) 969-8654

24060 Delilah Cir
Suite 672154
Chugiak, AK 99567-5523
Phone (907) 854-6877

3122 E Meridian Park Loop
Wasilla, AK 99654-7255

PO Box
Suite 671667
Chugiak, AK 99567-1667

PO Box
Suite 672154
Chugiak, AK 99567-2154

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26350AKMDRegistered Nurse
156904AKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longship Nursing and Consulting LLC CurrentSince Jul 2, 2024 Accepting new patients

Locations

11723 Old Glenn Hwy
Ste 213
Eagle River, AK 99577
Phone (205) 969-8654

Interoperability endpoints

  • Direct secure messaging: longshipnursingandconsulting.andrealewis@158692.advancedmd-direct.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1316253990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672154",
            "city": "CHUGIAK",
            "state": "AK",
            "postal_code": "995672154",
            "telephone_number": "907-854-6877",
            "fax_number": "888-892-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11723 OLD GLENN HWY STE 213",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777750",
            "telephone_number": "907-854-6877",
            "fax_number": "888-892-4144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21249 Old Glenn Highway (Mobile Practice)",
            "address_purpose": "LOCATION",
            "city": "Chugiak",
            "state": "AK",
            "postal_code": "99567",
            "country_code": "US",
            "telephone_number": "907-854-6877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ANDREA",
        "credential": "APRN- FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "26350",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "156904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALASKA NURSING BOARD ANP LICENSE",
            "identifier": "156904",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALASKA NURSING BOARD RN LICENSE",
            "identifier": "NURR26350",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

Verify at the official NPI Registry.