Individual provider Active NPI

Gretha Regina Lewis, NP-C

  • Nurse Practitioner
  • Meriden, CT
National Provider Identifier
1720398340
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
004516 Issued in CT
Practice address
158 Paddock Ave Apt 904
Meriden, CT 06450-6996
Phone
(860) 778-3322
NPI assigned
Oct 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 004516 CT
Nurse Practitioner 363L00000X 004516 CT Primary

Addresses

Primary practice location

158 Paddock Ave Apt 904
Meriden, CT 06450-6996

Mailing address

158 Paddock Ave Apt 904
Meriden, CT 06450-6996
Phone (860) 778-3322

Other identifiers 1

IdentifierTypeStateIssuer
004516OtherCTLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20111121000916 CT Practitioner - Nurse Practitioner 7214101617 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peaceful Minds Treatment Center LLCGroup PAC ID 2264952423, 2 clinicians

Practice addresses (Care Compare)

1389 W Main St
Suite 122
Waterbury, CT 06708-3104
Phone (203) 800-1642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4516CTMDClinical Neuropsychologist
004516CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Nurse Practitioner CurrentSince Jun 1, 2019 Accepting new patients
Peaceful Minds Treatment Center LLC Adult Health CurrentSince Feb 1, 2025 Accepting new patients
Hartford Healthcare Medical Group, Inc Nurse Practitioner CurrentSince Oct 1, 2018 Accepting new patients
Starling Physicians, PLLC Nurse Practitioner CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Nurse Practitioner CurrentSince Dec 19, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Dec 19, 2021 Accepting new patients
Starling Physicians PLLC CurrentSince Jun 1, 2019 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

85 Seymour St
Ste 901
Hartford, CT 06106
Phone (860) 244-0148

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

2110 Silas Deane Hwy
Rocky Hill, CT 06067

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1389 W Main St
Ste 122
Waterbury, CT 06708
Phone (203) 800-1642

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Interoperability endpoints

  • Direct secure messaging: glewis2389029@direct.trinity-health.org

Organizations & group practices 10

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": "1287187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1720398340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 PADDOCK AVE APT 904",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506996",
            "telephone_number": "860-778-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 PADDOCK AVE APT 904",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064506996",
            "telephone_number": "860-778-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GRETHA",
        "middle_name": "REGINA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-16",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "004516",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "004516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "004516",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.