Active NPI
Gerald C Lewis, CNS, BC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 70000167
- Practice address
- 9120 Connecticut St Ste a
Merrillville, IN 46410-7015 - Phone
- (219) 793-1233
- Fax
- (219) 793-1244
- NPI assigned
- Sep 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 70000167 | IN | Primary |
Addresses
Primary practice location
9120 Connecticut St Ste a
Merrillville, IN 46410-7015
Mailing address
9120 Connecticut St Ste a
Merrillville, IN 46410-7015
Phone (219) 793-1233
Other practice location 1
3000 Murvihill Rd
Valparaiso, IN 46383-5960
Phone (219) 286-3907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01054054 | Other | IN | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9120 Connecticut St
Suite a
Merrillville, IN 46410-7015
Phone (219) 793-1233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70000167 | IN | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerald Lewis Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
9120 Connecticut St
Ste A
Merrillville, IN 46410
Phone (219) 756-4600
3000 Murvihill Rd
Valparaiso, IN 46383
Phone (219) 286-3907
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.
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Valparaiso, IN
- NPI 1053650887
-
- Psychiatry Physician
- Merrillville, IN
- NPI 1851515076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1639279177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9120 CONNECTICUT ST STE A",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107015",
"telephone_number": "219-793-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9120 CONNECTICUT ST STE A",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107015",
"telephone_number": "219-793-1233",
"fax_number": "219-793-1244"
}
],
"practiceLocations": [
{
"address_1": "3000 Murvihill Rd",
"address_purpose": "LOCATION",
"city": "Valparaiso",
"state": "IN",
"postal_code": "463835960",
"country_code": "US",
"telephone_number": "219-286-3907",
"fax_number": "219-286-3911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "GERALD",
"middle_name": "C",
"credential": "CNS, BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "IN",
"license": "70000167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01054054",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.