Christopher Lewis, APRN
Individual provider Active NPI Nurse Practitioner · Cumberland, KY
NPI 1760484208 · NPPES record last updated May 13, 2021
Key facts
- NPI
- 1760484208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3003921 (KY)
- Practice address
- 103 Kingdom Come Dr
Cumberland, KY 40823-1590 - Phone
- (606) 589-5514
- Fax
- (606) 589-5909
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Quantum Healthcare Associates of Cumberland, Inc
Practice addresses (Care Compare)
103 Kingdom Come Dr
Cumberland, KY 40823-1590
Phone (606) 589-5514
Hospital & facility affiliations
- Harlan Arh HHA
- Whitesburg Arh HHA
- Harlan Arh Hospital
- Whitesburg Arh Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040407001627 | KY | Practitioner - Nurse Practitioner | 8820081417 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3003921 | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain After Hours Clinic PSC | Current |
Accepting new patients | |
| Quantum Healthcare Associates of Cumberland, Inc | Current |
Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Past | Accepting new patients |
Locations
103 Kingdom Come Dr
Cumberland, KY 40823
Phone (606) 589-5514
210 Black Gold Blvd
Ste 106
Hazard, KY 41701
Phone (606) 436-0711
1908 N Main St
Ste 120
Hazard, KY 41701
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GIIEDD
- https://fhir4.healow.com/fhir/r4/AIEDDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3003921 | KY | Yes |
Addresses
Primary practice location
103 Kingdom Come Dr
Cumberland, KY 40823-1590
Mailing address
PO Box 959
Hazard, KY 41702-0959
Phone (606) 436-0711
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78009578 | Medicaid | KY |
Other names
- Chris Lewis
Other providers in Cumberland, KY
- Chad Fields
- Homer Richard Fortney
- Hanging Rock LTC, LLC
- Daniel E. Howard
- Billie Jo Jackson
- Main Street Clinic, LLC
- Mountain Comprehensive Health Corporation
- Johnny Richard Murphy II
- NP Caregivers, LLC
- Wendy Lynn Phillips
All providers in Cumberland, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.