Active NPI
Anne Ensor Lewis, CRNP
- Family Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R125808
- Practice address
- 6701 N Charles St
Suite 4105
Baltimore, MD 21204-6808 - Phone
- (443) 849-3184
- Fax
- (443) 849-3182
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R125808 | MD | Primary |
Addresses
Primary practice location
6701 N Charles St
Suite 4105
Baltimore, MD 21204-6808
Mailing address
PO Box 631568
Baltimore, MD 21263-1568
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 467300000 | Medicaid | MD | |
| 712L/144420YBPG | Other | MD | MEDICARE, STATE OF MD |
Other names 1
- Anne Lewis Villanueva
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6701 N Charles St
4105 Gilchrist Elder Medical Care
Gilchrist Elder Medical C, MD 21204-6808
Phone (443) 849-3184
Hospital & facility affiliations
- Gilchrist Hospice Care, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R125808 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc. | Current | Accepting new patients | |
| Gilchrist Hospice Care, Inc. | Current | Accepting new patients | |
| Gilchrist Hospice Care, Inc. | Current | Accepting new patients | |
| Greater Baltimore Medical Center, Inc | Family | Current | Accepting new patients |
Locations
6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196
6701 N Charles St
Ste 4105
Towson, MD 21204
Phone (443) 849-3184
6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767
6565 N Charles St
Ste 203
Towson, MD 21204
Phone (410) 828-3760
Interoperability endpoints
- alewis8214@gbmcdirect.org
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1871069799
-
- Obstetrics & Gynecology Physician
- Baltimore, MD
- NPI 1891855763
Family
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham Seabrook, MD
- NPI 1588412241
-
- General Practice Physician
- Baltimore, MD
- NPI 1396774238
-
- Sleep Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1538029731
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Inpatient Hospice
- Towson, MD
- NPI 1780773408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1316917081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631568",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212631568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 N CHARLES ST",
"address_2": "SUITE 4105",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046808",
"telephone_number": "443-849-3184",
"fax_number": "443-849-3182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ANNE",
"middle_name": "ENSOR",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R125808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "467300000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE, STATE OF MD",
"identifier": "712L/144420YBPG",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "VILLANUEVA",
"middle_name": "LEWIS",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.