Wendi-Jo Lewis, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Ft. Novosel, AL
NPI 1760944847 · NPPES record last updated Jul 28, 2025
Key facts
- NPI
- 1760944847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-193126 (AL)
- Practice address
- 301 Andrews Avenue
Ft. Novosel, AL 36362 - Phone
- (334) 255-7040
- NPI assigned
- Apr 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- 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 |
|---|---|---|---|---|
| I20230406000084 | AL | Practitioner - Nurse Practitioner | 8820322837 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25194 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enterprise Urgent Care | Current |
Accepting new patients |
Locations
6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-193126 | AL | Yes |
Addresses
Primary practice location
301 Andrews Avenue
Ft. Novosel, AL 36362
Mailing address
301 Andrews Avenue
Ft. Novosel, AL 36362
Phone (334) 255-7040
Other names
- Ms. Wendi-Jo Wiscombe
Other providers in Ft. Novosel, AL
- Anthony Kadenzy
- Justin Kirkland
- Riley Jo Koldenhoven
- Nathan Hoi-King Kwan
- Rose Larsen
- Erica Murray
- Ikemefula Nwangburuka
- Daniella M Pettinari
- Amanda Pouncey
- Lauren Quednow
All providers in Ft. Novosel, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.