Individual provider Active NPI

Amanda Michelle Lewis, FNP-C

  • Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1518450105
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP09963 Issued in LA
Practice address
1453 E Bert Koun Loop Ste 112
Shreveport, LA 71105-6810
Phone
(318) 798-9400
Fax
(318) 222-3757
NPI assigned
Jun 8, 2018
Last updated
Jun 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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 AP09963 LA Primary

Addresses

Primary practice location

1453 E Bert Koun Loop Ste 112
Shreveport, LA 71105-6810

Mailing address

PO Box 51008
Shreveport, LA 71135-1008
Phone (318) 798-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20180731003135 LA Practitioner - Nurse Practitioner 8820346364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Cardiovascular SpecialistsGroup PAC ID 7315224755, 21 clinicians

Practice addresses (Care Compare)

1453 E Bert Koun Loop
Suite 112
Shreveport, LA 71105-6810
Phone (318) 798-9400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.08 of 100Reported as group
Quality
73.94
Promoting interoperability
97
Improvement activities
40
Cost
72.16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ark-la-Tex Cardiology, Apmc CurrentSince Dec 15, 2019 Accepting new patients
Advanced Cardiovascular Specialists CurrentSince May 30, 2018 Accepting new patients

Locations

1453 E Bert Kouns Industrial Loop
Ste 112
Shreveport, LA 71105
Phone (318) 798-9400

Interoperability endpoints

  • Direct secure messaging: amanda.lewisnp.p1@direct.acs.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1518450105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51008",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711351008",
            "telephone_number": "318-798-9400",
            "fax_number": "318-424-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 E BERT KOUN LOOP STE 112",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711056810",
            "telephone_number": "318-798-9400",
            "fax_number": "318-222-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP09963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.