NPIMap

Individual provider Active NPI

Jessica D. Lewis, APRN

  • Family Nurse Practitioner
  • Milton, WV
National Provider Identifier
1659721496
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71360 Issued in WV
Practice address
1 Harbour Way
Milton, WV 25541
Phone
(304) 743-1407
Fax
(304) 743-4516
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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 71360 WV Primary

Addresses

Primary practice location

1 Harbour Way
Milton, WV 25541

Mailing address

2585 3Rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396

Other identifiers 2

IdentifierTypeStateIssuer
1659721496MedicaidWV
0295267MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161117000355 WV Practitioner - Nurse Practitioner 3375822273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

401 Division St
South Charleston, WV 25309-1455

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 766-3600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Mar 15, 2023 Accepting new patients
Charleston Area Medical Center, Inc. Current Accepting new patients
West Virginia University Medical Corporation CurrentSince Mar 15, 2023 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Oct 1, 2016 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

2345 Chesterfield Ave
Ste 302
Charleston, WV 25304
Phone (304) 720-2039

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

4315 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 926-8080

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3100 Maccorkle Ave SE
Ste 101
Charleston, WV 25304
Phone (304) 388-5395

3703 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-2273

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

424 Division St
Fl 2
South Charleston, WV 25309

401 Division St
Ste 204
South Charleston, WV 25309
Phone (304) 414-4841

400 Fairview Heights Rd
Ste 202
Summersville, WV 26651
Phone (304) 872-8404

Interoperability endpoints

  • Direct secure messaging: jlewis399894@direct.wvuhsdirect.com

Organizations & group practices 5

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1659721496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031642",
            "telephone_number": "304-697-1396",
            "fax_number": "304-697-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARBOUR WAY",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "25541",
            "telephone_number": "304-743-1407",
            "fax_number": "304-743-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JESSICA",
        "middle_name": "D.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "71360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659721496",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0295267",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, WV

Sources for this page

Verify at the official NPI Registry.