Individual provider Active NPI

Lindsay Nicole Lewis, M.D.

  • Family Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1609018449
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 107010 Issued in FL
Practice address
1700 SE Hillmoor Dr
Port St Lucie, FL 34952-7539
Phone
(772) 398-7936
Fax
(772) 398-7970
NPI assigned
Mar 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 107010 FL Primary

Addresses

Primary practice location

1700 SE Hillmoor Dr
Port St Lucie, FL 34952-7539

Mailing address

1700 SE Hillmoor Dr
Port St Lucie, FL 34952-7539
Phone (772) 398-7936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927001127 FL Practitioner - Family Practice 5799801734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lucie Medical Specialists LLCGroup PAC ID 1456430487, 39 clinicians

Practice addresses (Care Compare)

1800 SE Tiffany Ave
Port Saint Lucie, FL 34952-7521
Phone (772) 335-4000

1881 SE Tiffany Ave
Port Saint Lucie, FL 34952-7567

2505 SW Martin Hwy
Palm City, FL 34990-3149
Phone (772) 288-1015

293 NW Peacock Blvd
Port Saint Lucie, FL 34986-2222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 107010FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Criticare Clinics Inc CurrentSince Dec 12, 2012 Accepting new patients
St Lucie Medical Specialists LLC Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Lawnwood Cardiovascular Surgery LLC Past Accepting new patients

Locations

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

2505 SW Martin Hwy
Palm City, FL 34990
Phone (772) 288-0060

1881 SE Tiffany Ave
Ste 308
Port Saint Lucie, FL 34952
Phone (772) 398-7822

1881 SE Tiffany Ave
Ste 306
Port Saint Lucie, FL 34952
Phone (772) 398-7822

1881 SE Tiffany Ave
Ste 102
Port St Lucie, FL 34952
Phone (772) 398-7936

140 SW Chamber Ct
Ste 100
Port St Lucie, FL 34986
Phone (772) 873-0303

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: lindsay.lewis@hca4.eclinicaldirectplus.com

Organizations & group practices 3

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 2

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": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1609018449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527539",
            "telephone_number": "772-398-7936",
            "fax_number": "772-398-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527539",
            "telephone_number": "772-398-7936",
            "fax_number": "772-398-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LINDSAY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 107010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.