Individual provider Active NPI

Wendy Payne Lewis, A.N.P.

  • Adult Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1487769501
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
900353 Issued in NC
Practice address
7845 Little Ave
Charlotte, NC 28226-8198
Phone
(704) 375-0100
Fax
(704) 335-3592
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 900353 NC Primary

Addresses

Primary practice location

7845 Little Ave
Charlotte, NC 28226-8198

Mailing address

PO Box 470408
Charlotte, NC 28247-0408
Phone (704) 375-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080219000106 NC Practitioner - Nurse Practitioner 4688757321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospice of Iredell County Inc 12 clinicians

Practice addresses (Care Compare)

2347 Simonton Rd
Statesville, NC 28625-8246
Phone (704) 873-4719

Hospital & facility affiliations

  • Gentiva Health Services Home health agency, Hickory, NC, CCN 347300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
900353NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Iredell County, Inc CurrentSince Apr 8, 2024 Accepting new patients

Locations

2347 Simonton Rd
Statesville, NC 28625
Phone (704) 873-4719

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1487769501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470408",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282470408",
            "telephone_number": "704-375-0100",
            "fax_number": "704-335-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 LITTLE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268198",
            "telephone_number": "704-375-0100",
            "fax_number": "704-335-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "WENDY",
        "middle_name": "PAYNE",
        "name_prefix": "Mrs.",
        "credential": "A.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "900353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.