Individual provider Active NPI

Michele Therese Lewis, CRNA

  • Certified Registered Nurse Anesthetist
  • Clinton, NC
National Provider Identifier
1700886611
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
121721 Issued in NC
Practice address
607 Beaman St
Anesthesia Department
Clinton, NC 28328-2603
Phone
(910) 592-8511
Fax
(910) 592-8511
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 121721 NC Primary

Addresses

Primary practice location

607 Beaman St
Anesthesia Department
Clinton, NC 28328-2603

Mailing address

PO Box 890235
Charlotte, NC 28289-0235
Phone (800) 919-1190

Other identifiers 2

IdentifierTypeStateIssuer
8051683MedicaidNC
D3601OtherNCMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000803 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305919341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3202 Boone TRL
Fayetteville, NC 28306-2134
Phone (910) 323-2477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Endoscopy Center Nurse Anesthetist, Certified Registered CurrentSince Jun 18, 2021 Accepting new patients
Cumberland Anesthesia Associates P a Past Accepting new patients
Sampson Regional Medical Services LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3202 Boone Trl
Fayetteville, NC 28306
Phone (910) 223-7011

Interoperability endpoints

  • Direct secure messaging: mlewis@crhn.cernerdirect.com

Organizations & group practices 4

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1700886611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890235",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890235",
            "telephone_number": "800-919-1190",
            "fax_number": "800-919-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BEAMAN ST",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282603",
            "telephone_number": "910-592-8511",
            "fax_number": "910-592-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MICHELE",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "121721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8051683",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "D3601",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.