Dorenda Lewis, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209009219 Issued in IL

Practice address

4177 S Archer Ave
Chicago, IL 60632-1849

Phone

(773) 254-2222

NPI assigned

Mar 11, 2013

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 IL

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saint Anthony Health AffiliatesGroup PAC ID 1254321474, 95 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Saint Anthony Health Affiliates

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1881086064
  Medicare reassignment Care Compare group NPD
• Paragon Clinical LLC

  • Nurse Practitioner
  • Burr Ridge, IL
  • NPI 1114139946

  Adult Health

  Medicare reassignment NPD
• Prime Care LTC Consulting Inc

  • Internal Medicine Physician
  • Northlake, IL
  • NPI 1487075073
  NPD
• Saint Anthony Health Affiliates

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1295010056
  NPD
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  NPD (past)
• Saint Anthony Health Affiliates

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1295757771
  NPD (past)
• Paragon Clinical Midwest, LLC

  • Nurse Practitioner
  • Merrillville, IN
  • NPI 1619335700
  NPD (past)

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

• Saint Anthony Hospital

  • General Acute Care Hospital
  • Cicero, IL
  • NPI 1184490062
  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1194723999
  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1538655949
  Care Compare affiliation
• Saint Anthony Hospital

  • Children's Hospital
  • Chicago, IL
  • NPI 1619456423
  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1710877386
  Care Compare affiliation
• Saint Anthony Hospital

  • Community/Retail Pharmacy
  • Chicago, IL
  • NPI 1790490563

  Hospital

  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1881363224
  Care Compare affiliation
• Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1912397480
  Care Compare affiliation

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1407197841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 W 83RD PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523423",
            "telephone_number": "773-405-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4177 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606321849",
            "telephone_number": "773-254-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DORENDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209009219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Elaine Lewis, N.P.
• Daryle Lewis
• David Harker Lewis, LCSW
• Debra Joann Lewis, MSW/LSW
• Donyae A. Lewis
• Emily Lewis, MSW
• Genessa Lewis, PSY.D
• Grace E Lewis
• Hannah Beth Lewis, MD
• Harvey Lewis II, MD

• Adult Health Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.