Jacquelyn Marie Lewis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601008503 Issued in MI

Practice address

3955 Patient Care Dr Ste a
Lansing, MI 48911-4271

Phone

(517) 374-7600

Fax

(885) 480-9150

NPI assigned

Dec 21, 2017

Sex

Female

Sole proprietor

No

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 MI

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

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Internal Medicine Associates P.C.Group PAC ID 8022097963, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
• McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jacquelyn.lewis@cimamed.eclinicaldirectplus.com
• Direct secure messaging: jeaton72234@mymichiganhealth.midirect.net

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.

• Capital Internal Medicine Associates P.C.

  • Internal Medicine Physician
  • Lansing, MI
  • NPI 1780629832
  Medicare reassignment Care Compare group
• Great Lakes Medical Associates, PC

  • Internal Medicine Physician
  • Edmore, MI
  • NPI 1811094295
  Medicare reassignment

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

• Edward W Sparrow Hospital Association

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1073588711
  Care Compare affiliation
• Edward W Sparrow Hospital Association

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1760710719
  Care Compare affiliation
• McLaren Greater Lansing

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1134104672
  Care Compare affiliation

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1386150746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE DR STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114271",
            "telephone_number": "517-374-7600",
            "fax_number": "885-480-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE DR STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114271",
            "telephone_number": "517-374-7600",
            "fax_number": "885-480-9150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Lake Lansing Rd",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489123798",
            "country_code": "US",
            "telephone_number": "989-427-5320",
            "fax_number": "989-427-8220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 E Main St",
            "address_purpose": "LOCATION",
            "city": "Edmore",
            "state": "MI",
            "postal_code": "488298740",
            "country_code": "US",
            "telephone_number": "989-427-5320 x234",
            "fax_number": "989-427-8220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Lake Lansing Rd",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489123798",
            "country_code": "US",
            "telephone_number": "989-427-5320",
            "fax_number": "989-427-8220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JACQUELYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Adams Lewandowski, DO
• Eric Lewandowski, DO
• Joy Katherine Lewin
• Alexis Tristana Lewis
• Aliyah Gabrielle Lewis
• Jessie Lynn Lewis, PHYSICAL THERAPY
• Leisa Lewis, LMSW
• Madeline Rose Lewis, DO
• Mark G Lewis, DO
• Elizabeth M Leyrer, NP-C

• Physician Assistant in Lansing, MI
• Providers in Lansing, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.