Wanda M Lewis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704283277 Issued in MI

Practice address

10112 Windy Knoll CT
Clarkston, MI 48348-2182

Phone

(254) 630-9421

NPI assigned

May 21, 2018

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

Medicare fee-for-service enrollment

Enrolled in AR, AK2 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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appello Health and Wellness Clinic LLCGroup PAC ID 3971043290, 76 clinicians

Wellness Centers of Midamerica PLLCGroup PAC ID 1850621319, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johnson Regional Medical Center Hospital, Clarksville, AR, CCN 040002
• Norton Sound Regional Hospital Hospital, Nome, AK, CCN 021308

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wellnesscentersofmidamerica.wandalewis@157305.advancedmd-direct.com

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.

• Wellness Centers of Midamerica PLLC

  dba Arkansas Pain, Wound and Wellness Clinic

  • General Practice Physician
  • Russellville, AR
  • NPI 1326693474
  Medicare reassignment Care Compare group NPD
• Appello Health and Wellness Clinic, LLC

  • Rural Health Clinic/Center
  • Malvern, AR
  • NPI 1215773262
  Medicare reassignment Care Compare group
• Norton Sound Health Corporation

  • Critical Access Hospital
  • Nome, AK
  • NPI 1154358232
  Medicare reassignment NPD
• Norton Sound Health Corporation

  • Critical Access Hospital
  • Nome, AK
  • NPI 1225101041
  Medicare reassignment NPD
• Norton Sound Health Corporation

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Nome, AK
  • NPI 1427187046
  NPD
• Arkansas Wound & Wellness Clinic LLC

  • General Practice Physician
  • Russellville, AR
  • NPI 1083502074
  NPD (past)

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

• Johnson Regional Medical Center

  • General Acute Care Hospital
  • Clarksville, AR
  • NPI 1134116049
  Care Compare affiliation
• Norton Sound Health Corporation

  • Critical Access Hospital
  • Nome, AK
  • NPI 1225101041
  Care Compare affiliation

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1346731866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10112 WINDY KNOLL CT",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482182",
            "telephone_number": "254-630-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10112 WINDY KNOLL CT",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482182",
            "telephone_number": "254-630-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "WANDA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704283277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Leverenz
• Kathryn L. Levinson, LLP
• Nicholas Lewan, LPC
• Joan Mary Lewis, DDS,MSD
• Paul C. Lewis, D.O.
• Life Skills Rehabilitation
• Life Solutions Coaching
• Lifepointe Chiro PLLC
• Lifepointe Chiropractic Center, PLC
• Ashley Liggett, MS, BCBA, LBA

• Family Nurse Practitioner in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.