Nacobi Yvonne Lewis, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

0024180754 Issued in VA

Practice address

1712 E Broad St
Richmond, VA 23223-6930

Phone

(804) 344-9848

Fax

(804) 554-5395

NPI assigned

Jan 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PMR Virginia Holding LLCGroup PAC ID 9537576608, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• PMR Virginia Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1083167001

  VA

  Medicare reassignment Care Compare group NPD
• Vpa PC

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1942531769
  Medicare reassignment NPD
• HCR Manorcare Medical Services of Florida LLC

  • Nurse Practitioner
  • Toledo, OH
  • NPI 1386750420

  VA

  Medicare reassignment NPD
• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483

  DC, VA

  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD
• Jencare Neighborhood Medical East Richmond, LLC

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1891089454
  NPD (past)

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1669003802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 E BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236930",
            "telephone_number": "804-344-9848",
            "fax_number": "804-554-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 E BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232236930",
            "telephone_number": "804-344-9848",
            "fax_number": "804-554-5395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7229 Forest Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232263765",
            "country_code": "US",
            "telephone_number": "804-687-4793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1936 Forestdale Dr",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232355651",
            "country_code": "US",
            "telephone_number": "804-267-9698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "NACOBI",
        "middle_name": "YVONNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2023-04-21",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024180754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Lynn Lewis, CPHT
• Mary Margaret Lewis, MD
• Megan Lewis
• Melanie Yolanda Lewis, LPC
• Monica L Lewis, PSYD
• Nathan J Lewis, MD
• Neil Pendril Lewis, MD
• Pamela Zapata Lewis, NP
• Patricia Lewis
• Phylicia Lewis

• Gerontology Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Gerontology Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.