Individual provider Active NPI

Gerald C Lewis, CNS, BC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Merrillville, IN
National Provider Identifier
1639279177
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
70000167 Issued in IN
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

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01054054OtherINRR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150415001659 IN Practitioner - Certified Clinical Nurse Specialist (CNS) 4082630322 Reassigns benefits to 2 organizations

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
Michael Frampton M.D., P.C.Group PAC ID 9931290582, 6 clinicians

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

LicenseStateTypeSpecialty
70000167INMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald Lewis Inc. Psychiatric/Mental Health CurrentSince Jan 11, 2007 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.

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

Verify at the official NPI Registry.