Individual provider Active NPI

Adam Lewis, APRN

  • Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1497573257
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11035556 Issued in FL
Practice address
425 S Kings Ave
Brandon, FL 33511-5919
Phone
(804) 822-0547
NPI assigned
Oct 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11035556 FL Primary

Addresses

Primary practice location

425 S Kings Ave
Brandon, FL 33511-5919

Mailing address

4805 Bay Heron PL Apt 721
Tampa, FL 33616-2949
Phone (804) 822-0547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241030003186 FL Practitioner - Nurse Practitioner 5799218665 Reassigns benefits to 1 organization
I20251016001293 VA Practitioner - Nurse Practitioner 5799218665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Urgent Care LLCGroup PAC ID 6709256142, 125 clinicians

Practice addresses (Care Compare)

10 N Nansemond St
Richmond, VA 23221-2768
Phone (804) 877-8327

11201 Nuckols Rd
Glen Allen, VA 23059-5502
Phone (804) 887-8322

14163 Midlothian Tpke
Midlothian, VA 23113-6523
Phone (804) 893-8702

14426 Hull St Rd
Chesterfield, VA 23832-2525
Phone (804) 887-8322

1502 N Parham Rd
Richmond, VA 23229-4661
Phone (804) 877-8323

2230 W Broad St
Suite 101
Richmond, VA 23220-2037
Phone (804) 877-8329

4835 S Laburnum Ave
Richmond, VA 23231-2713
Phone (804) 877-8324

8800 Staples Mill Rd
Richmond, VA 23228-2057
Phone (804) 877-8324

9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702

Hospital & facility affiliations

  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035556FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Urgent Care LLC CurrentSince Sep 8, 2025 Accepting new patients
South Shore Cardiovascular Associates Inc CurrentSince Oct 15, 2024 Accepting new patients

Locations

425 S Kings Ave
Brandon, FL 33511
Phone (813) 661-6199

13127 Vail Ridge Dr
Riverview, FL 33579
Phone (813) 661-6199

9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: alewis3019022@direct.bsmhealth.org

Organizations & group practices 2

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 7

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": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1497573257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 BAY HERON PL APT 721",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336162949",
            "telephone_number": "804-822-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115919",
            "telephone_number": "804-822-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ADAM",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11035556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.