Individual provider Active NPI

Sara Nicole Lewis, NP

  • Family Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1669119590
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F04220073 Issued in ID
Practice address
1660 S Woodsage Ave BLDG a
Meridian, ID 83642-7670
Phone
(208) 860-3386
NPI assigned
May 12, 2022
Last updated
Apr 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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 F04220073 ID Primary

Addresses

Primary practice location

1660 S Woodsage Ave BLDG a
Meridian, ID 83642-7670

Mailing address

306 E Caldera St
Meridian, ID 83642-8688
Phone (208) 860-3386

Other practice location 1

306 E Caldera St
Meridian, ID 83642-8688
Phone (208) 473-0815

Other names 1

  • Sara Duesman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20221116002625 ID Practitioner - Nurse Practitioner 9335517705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Morgan Family MedicineGroup PAC ID 3779814769, 4 clinicians

Practice addresses (Care Compare)

1660 S Woodsage Ave
BLDG a
Meridian, ID 83642-7670
Phone (208) 906-1231

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F04220073IDMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: morganfamilymedicine.saralewis@153391.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1669119590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E CALDERA ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428688",
            "telephone_number": "208-860-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S WOODSAGE AVE BLDG A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427670",
            "telephone_number": "208-860-3386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 E Caldera St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836428688",
            "country_code": "US",
            "telephone_number": "208-473-0815",
            "fax_number": "208-473-0815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SARA",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "F04220073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "DUESMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.