Individual provider Active NPI

Patrice Michelle Lewis-Outley, F.N.P

  • Nurse Practitioner
  • Grambling, LA
National Provider Identifier
1568613370
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP05587 Issued in LA
Practice address
Central Avenue
Grambling, LA 71245
Phone
(318) 274-2288
NPI assigned
Oct 10, 2008
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP05587 LA Primary
Family Nurse Practitioner 363LF0000X AP05587 LA
Registered Nurse 163W00000X RN098033 LA

Addresses

Primary practice location

Central Avenue
Grambling, LA 71245

Mailing address

403 Main Street
P.O Box 4251
Ruston, LA 71245
Phone (318) 243-3103

Other identifiers 1

IdentifierTypeStateIssuer
2304917MedicaidLA

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
I20120831000314 LA Practitioner - Nurse Practitioner 3678720356 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN098033LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Nurse Practitioner CurrentSince Nov 5, 2023 Accepting new patients

Locations

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1568613370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MAIN STREET",
            "address_2": "P.O BOX 4251",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "71245",
            "telephone_number": "318-243-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRAL AVENUE",
            "city": "GRAMBLING",
            "state": "LA",
            "postal_code": "71245",
            "telephone_number": "318-274-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-OUTLEY",
        "first_name": "PATRICE",
        "middle_name": "MICHELLE",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP05587",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05587",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN098033",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2304917",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grambling, LA

Sources for this page

Verify at the official NPI Registry.