NPIMap

Individual provider Active NPI

Matthew J. Lewis, CRNA

  • Certified Registered Nurse Anesthetist
  • Pensacola, FL
National Provider Identifier
1770507600
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
179 Issued in MN
Practice address
8383 N Davis Hwy
Pensacola, FL 32514-6039
Phone
(850) 494-3212
NPI assigned
Jul 26, 2006
Last updated
Aug 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN11045767 FL
Certified Registered Nurse Anesthetist 367500000X 179 MN Primary

Addresses

Primary practice location

8383 N Davis Hwy
Pensacola, FL 32514-6039

Mailing address

815 2ND St SE
Little Falls, MN 56345-3505
Phone (320) 632-5441

Other identifiers 1

IdentifierTypeStateIssuer
685325100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050811000375 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739118563 Reassigns benefits to 6 organizations
I20260507003763 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739118563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians
Unity Family HealthcareGroup PAC ID 9830003516, shared by 7 NPIs, 65 clinicians

Practice addresses (Care Compare)

3701 12TH St N
Suite 202
Saint Cloud, MN 56303-2253
Phone (320) 258-3090

815 2ND St SE
Little Falls, MN 56345-3505
Phone (320) 632-5441

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11045767FLMDCertified Registered Nurse Anesthetist
179MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital Association CurrentSince Jun 1, 2000 Accepting new patients
Centracare Clinic Current Accepting new patients
Unity Family Healthcare CurrentSince Dec 29, 2025 Accepting new patients
Centracare Clinic CurrentSince May 1, 2025 Accepting new patients
Unity Family Healthcare CurrentSince Aug 1, 2022 Accepting new patients
Centracare Clinic CurrentSince May 1, 2025 Accepting new patients
North Shore Anesthesia P.a Nurse Anesthetist, Certified Registered CurrentSince Mar 23, 1999 Accepting new patients
Unity Family Healthcare CurrentSince Aug 1, 2022 Accepting new patients
St. Luke's Hospital of Duluth Past Accepting new patients
St. Luke's Hospital of Duluth Nurse Anesthetist, Certified Registered PastSince Aug 27, 2012 Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207

1420 London Rd
Ste 100
Duluth, MN 55805
Phone (218) 728-0650

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

3701 12th St N
Ste 202
Saint Cloud, MN 56303
Phone (320) 258-3090

Interoperability endpoints

  • Direct secure messaging: hisdept@direct.cloquethospital.com
  • Direct secure messaging: mlewis631173@direct.centracare.com

Organizations & group practices 11

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1770507600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 2ND ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453505",
            "telephone_number": "320-632-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146039",
            "telephone_number": "850-494-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MATTHEW",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11045767",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685325100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.