Michelle Lynn Lewis, DNP, AGNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

220457-4405 Issued in UT

Practice address

800 E 2600 N
Ogden, UT 84414-2436

Phone

(801) 298-1100

NPI assigned

Jan 18, 2025

Last updated

Jan 20, 2025By 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 1

Addresses

Other names 1

• Michelle Lynn Parker Former name

Medicare fee-for-service enrollment

Enrolled in UT

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

Group practices

Canyon Healthcare IncGroup PAC ID 8123368925, 11 clinicians

Summit Medical Center LLCGroup PAC ID 7012413164, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Symbii Home Health South Home health agency, Murray, UT, CCN 467342
• St Luke's Regional Medical Center Hospital, Boise, ID, CCN 130006
• St Joseph Villa Nursing home, Salt Lake City, UT, CCN 465095

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Canyon Healthcare, Inc.

  dba Physician Home Care

  • Multi-Specialty Clinic/Center
  • Layton, UT
  • NPI 1649748559
  Medicare reassignment Care Compare group NPD
• Summit Medical Center LLC

  • Family Medicine Physician
  • Taylorsville, UT
  • NPI 1568250835
  Medicare reassignment Care Compare group NPD
• Togo Healthcare LLC

  • Family Medicine Physician
  • South Jordan, UT
  • NPI 1699511071
  Medicare reassignment NPD
• Independence Home Care, LLC

  dba Independence Hospice

  • Community Based Hospice Care Agency
  • North Ogden, UT
  • NPI 1235470337
  NPD

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

• Beaver Valley Hospital

  dba St. Joseph Villa

  • Skilled Nursing Facility
  • Salt Lake City, UT
  • NPI 1477007524

  Nursing home

  Care Compare affiliation
• Exemplar Healthcare, Inc.

  dba Symbii Home Health South

  • Home Health Agency
  • Murray, UT
  • NPI 1164901484
  Care Compare affiliation
• St Lukes Regional Medical Center

  dba Air St Luke's

  • Ambulance
  • Boise, ID
  • NPI 1518115195

  Hospital

  Care Compare affiliation
• St Lukes Regional Medical Center

  dba St Lukes Meridian Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  Care Compare affiliation

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

{
    "created_epoch": "1737158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1467263335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 W PANTANI CT",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840475724",
            "telephone_number": "801-592-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 2600 N",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844142436",
            "telephone_number": "801-298-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "DNP, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-18",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "UT",
            "license": "220457-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "PARKER",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John David Lesser II, M.D.
• Rosemary Tirinnanzi Lesser, MD
• Jeanne Deana Lester, SLP
• Felix Leung, MD
• Michelle Lewis
• Seth R Lewis, MD
• Delia Leyba-Hernandez
• Yu Li
• Mariah Liao
• Liberated Mind Counseling and Health Center

• Gerontology Nurse Practitioner in Ogden, UT
• Providers in Ogden, UT by specialty
• Gerontology Nurse Practitioner in Utah

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