Jerry Wayne Lewis, APRN PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3017921 Issued in KY

Practice address

103 Sycamore St
London, KY 40741-1740

Phone

(606) 312-4761

NPI assigned

Jun 14, 2022

Last updated

Jun 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kentucky Rural Health Information Technology Network IncGroup PAC ID 6608101522, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kentucky Rural Health Information Technology Network, Inc.

  dba Horizon Health

  • Primary Care Clinic/Center
  • London, KY
  • NPI 1972063204

  Single Specialty

  Medicare reassignment Care Compare group NPD
• PPL Therapeutic Services PLLC

  • Professional Counselor
  • Crestwood, KY
  • NPI 1104323252

  Single Specialty

  Medicare reassignment NPD
• Kentucky Rural Health Information Technology Network, Inc.

  dba Horizon Health

  • Rural Health Clinic/Center
  • Williamsburg, KY
  • NPI 1043886591
  NPD

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1720718620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SYCAMORE ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411740",
            "telephone_number": "606-312-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SYCAMORE ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411740",
            "telephone_number": "606-312-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JERRY",
        "middle_name": "WAYNE",
        "credential": "APRN PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3017921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "6063124761",
            "affiliation": "N",
            "endpointDescription": "aprnpmhnpbc@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "103 Sycamore St",
            "city": "London",
            "state": "KY",
            "country_code": "US",
            "postal_code": "407411740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Quintilla Rena Leddington, PTA
• Bethany D Ledford, APRN
• Christopher Earl Ledington, KCSA
• Sarah Beth Lefler, RD,LD
• Jessica Leverock, LPCA
• Kasondra Glynn Lewis, PMHNP-BC
• Regina Lynn Lewis, LPCC
• Willa Dawn Blue Lewis
• Lincare Inc
• Rebecca A Lockhart, ARNP

• Psychiatric/Mental Health Nurse Practitioner in London, KY
• Providers in London, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.