Individual provider Active NPI

Jerrika M Lewis, FNP-C

  • Family Nurse Practitioner
  • Las Cruces, NM
National Provider Identifier
1659160133
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
83334 Issued in NM
Practice address
4401 E Lohman Ave
Las Cruces, NM 88011-8267
Phone
(575) 522-0116
Fax
(575) 522-0094
NPI assigned
May 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 83334 NM Primary

Addresses

Primary practice location

4401 E Lohman Ave
Las Cruces, NM 88011-8267

Mailing address

4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 556-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20250630000324 NM Practitioner - Nurse Practitioner 0446763809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians

Practice addresses (Care Compare)

4401 E Lohman Ave
Suite a
Las Cruces, NM 88011-8267
Phone (575) 532-9077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83334NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Las Cruces Physician Services LLC CurrentSince Jun 1, 2025 Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

4401 E Lohman Ave
Las Cruces, NM 88011
Phone (575) 532-9077

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

4401 E Lohman Ave
Ste A
Las Cruces, NM 88011
Phone (575) 532-9077

Interoperability endpoints

  • Direct secure messaging: jerrika.lewis.1@1928.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1746144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1659160133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118255",
            "telephone_number": "575-556-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 E LOHMAN AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118267",
            "telephone_number": "575-522-0116",
            "fax_number": "575-522-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JERRIKA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "83334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.