Active NPI
Kelly T Lewis, APRN
- Family Nurse Practitioner
- Lebanon, NH
National Provider Identifier
1588034722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 083785-23
- Practice address
- 10 Alice Peck Day Dr
Lebanon, NH 03766-2900 - Phone
- (603) 448-3121
- NPI assigned
- Sep 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP129118 | TX | |
| Family Nurse Practitioner | 363LF0000X | 083785-23 | NH | Primary |
Addresses
Primary practice location
10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Mailing address
10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-3121
Other practice location 1
273 County Rd
New London, NH 03257-7700
Phone (603) 526-2911
Other practice location 2
1 Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-5922
Other practice location 3
1111 Gallagher Dr
Sherman, TX 75090-1713
Phone (903) 771-2846
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160412000539 | TX | Practitioner - Nurse Practitioner | 5294033098 | Reassigns benefits to 1 organization |
| I20201124001551 | NH | Practitioner - Nurse Practitioner | 5294033098 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Alice Peck Day Memorial Hospital
Practice addresses (Care Compare)
10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-3121
Hospital & facility affiliations
- Lake Sunapee Home Care & Hospice
- Alice Peck Day Memorial Hospital
- New London Hospital
- Mary Hitchcock Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083785-23 | NH | MD | Family Nurse Practitioner |
| AP129118 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grayson County Health Clinic | Current | Accepting new patients | |
| The New London Hospital Association, Inc. | Current | Accepting new patients | |
| Alice Peck Day Memorial Hospital | Current | Accepting new patients | |
| The New London Hospital Association, Inc. | Current | Accepting new patients | |
| Alice Peck Day Memorial Hospital | Current | Accepting new patients | |
| Life Long Care of New London PLLC | Family | Current | Accepting new patients |
| Alice Peck Day Memorial Hospital | Current | Accepting new patients | |
| The New London Hospital Association, Inc. | Past | Accepting new patients | |
| Brattleboro Memorial Hospital | Past | Accepting new patients |
Locations
10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440
5 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-3996
273 County Rd
New London, NH 03257
Phone (603) 526-5215
276 Newport Rd
Ste 107
New London, NH 03257
Phone (603) 344-1819
809 Gallagher Dr
Ste D
Sherman, TX 75090
Phone (903) 771-2846
Interoperability endpoints
- https://api.platform.athenahealth.com/23658/brand/1/csg/1/fhir/r4
- https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/
- https://fhir4.healow.com/fhir/r4/HIEDCA
- https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
- kelly.lewis.1@23658.direct.athenahealth.com
Organizations & group practices 13
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.
-
- Critical Access Hospital
- Lebanon, NH
- NPI 1346456043
-
- Neurological Surgery Physician
- Lebanon, NH
- NPI 1649581232
-
- Family Medicine Physician
- Lebanon, NH
- NPI 1073569810
-
- Urgent Care Clinic/Center
- Lebanon, NH
- NPI 1942002274
-
- Psychiatric/Mental Health Nurse Practitioner
- New London, NH
- NPI 1366634776
Family
-
- Ambulance
- New London, NH
- NPI 1639610611
-
- Multi-Specialty Clinic/Center
- Newport, NH
- NPI 1770684672
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obstetrics & Gynecology Physician
- Lebanon, NH
- NPI 1093761892
Hospital
-
- Home Health Agency
- New London, NH
- NPI 1518953397
-
- Critical Access Hospital
- New London, NH
- NPI 1831200583
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1588034722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ALICE PECK DAY DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037662900",
"telephone_number": "603-448-3121",
"fax_number": "603-448-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ALICE PECK DAY DR",
"city": "LEBANON",
"state": "NH",
"postal_code": "037662900",
"telephone_number": "603-448-3121"
}
],
"practiceLocations": [
{
"address_1": "273 County Rd",
"address_purpose": "LOCATION",
"city": "New London",
"state": "NH",
"postal_code": "032577700",
"country_code": "US",
"telephone_number": "603-526-2911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037560001",
"country_code": "US",
"telephone_number": "603-650-5922",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 Gallagher Dr",
"address_purpose": "LOCATION",
"city": "Sherman",
"state": "TX",
"postal_code": "750901713",
"country_code": "US",
"telephone_number": "903-771-2846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "KELLY",
"middle_name": "T",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-30",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP129118",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "083785-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.