Individual provider Active NPI

Morris Leonard Lewis, RN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Saint Paul, MN
National Provider Identifier
1477792372
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
R133319-0 Issued in MN
Practice address
2550 University Ave W Ste 229N
Saint Paul, MN 55114
Phone
(651) 645-3115
Fax
(651) 645-2752
NPI assigned
Feb 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X R133319-0 MN Primary

Addresses

Primary practice location

2550 University Ave W Ste 229N
Saint Paul, MN 55114

Mailing address

2550 University Ave W Ste 229N
Saint Paul, MN 55114-1902
Phone (651) 645-3115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20050808000617 MN Practitioner - Certified Clinical Nurse Specialist (CNS) 2163451410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych Recovery IncGroup PAC ID 3779633912, 22 clinicians

Practice addresses (Care Compare)

2550 University Ave W
Suite 229 N
St. Paul, MN 55114-1052

2550 University Ave W
Suite 229N
Saint Paul, MN 55114-1902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R133319-0MNMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Recovery Inc CurrentSince Apr 1, 2011 Accepting new patients
Associated Clinic of Psychology Inc PastSince Jul 1, 2001 Accepting new patients
Pathway Virtu-Health Past Accepting new patients
Psychiatric Recovery PA Past Accepting new patients

Locations

2550 University Ave W
Ste 229N
Saint Paul, MN 55114
Phone (651) 645-3115

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1477792372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W STE 229N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141902",
            "telephone_number": "651-645-3115",
            "fax_number": "651-645-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE W STE 229N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55114",
            "telephone_number": "651-645-3115",
            "fax_number": "651-645-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MORRIS",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-17",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MN",
            "license": "R133319-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.