Shantana Lewis

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

11035643 Issued in FL

Practice address

6338 SW 70TH Cir
Ocala, FL 34474-1913

Phone

(352) 207-6646

NPI assigned

Oct 3, 2024

Last updated

Oct 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Lifeforce Healthcare, LLCGroup PAC ID 5092865568, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Village Home Care LLC Home health agency, Lady Lake, FL, CCN 108125
• Concierge Home Care Home health agency, The Villages, FL, CCN 108320
• Centerwell Home Health Home health agency, Ocala, FL, CCN 107512
• Enhabit Home Health Home health agency, Ocala, FL, CCN 109532

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Lifeforce Healthcare LLC

  • Adult Health Nurse Practitioner
  • Ocala, FL
  • NPI 1619110640
  Medicare reassignment Care Compare group NPD
• Florida Health Care LLC

  • Infectious Disease Physician
  • Lady Lake, FL
  • NPI 1952848913
  NPD (past)

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

• Centerwell Health Services (Certified), Inc.

  dba Centerwell Home Health

  • Home Health Agency
  • Ocala, FL
  • NPI 1841229515
  Care Compare affiliation Name & address match
• Eh Home Health of the Southeast, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Ocala, FL
  • NPI 1487032397
  Care Compare affiliation
• Hartford Health Services, LLC

  dba Concierge Home Care

  • Home Health Agency
  • The Villages, FL
  • NPI 1942238506
  Care Compare affiliation
• Village Home Care, LLC

  • Home Health Agency
  • Ocala, FL
  • NPI 1841252210
  Care Compare affiliation

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1447078837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6338 SW 70TH CIR",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344741913",
            "telephone_number": "352-207-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6338 SW 70TH CIR",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344741913",
            "telephone_number": "352-207-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SHANTANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11035643",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11035643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana Nicole Lewis
• Dee Demetrius Lewis, MSN, APRN
• Jaclyn Florence Lewis
• Jessica L Lewis
• Nancy Lewis, LMHC
• Sherri Diane Lewis, ARNP
• Tiffany Ebony Lewis
• Leydis Vigoa Leydis Vigoa
• Anhthu Thuy Li, PHARMD
• Richard Qi Li, M.D.

• Gerontology Nurse Practitioner in Ocala, FL
• Providers in Ocala, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.