Individual provider Active NPI

Chelsea K Lewis, FNP-C

  • Family Nurse Practitioner
  • Napa, CA
National Provider Identifier
1780133959
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008696 Issued in CA
Practice address
1141 Pear Tree LN
Napa, CA 94558-6484
Phone
(512) 228-9456
NPI assigned
Sep 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP132070 TX
Family Nurse Practitioner 363LF0000X 95008696 CA Primary

Addresses

Primary practice location

1141 Pear Tree LN
Napa, CA 94558-6484

Mailing address

2811 Leroy Cir Apt D
Killeen, TX 76542-3233
Phone (415) 509-0610

Other practice location 1

2133 Winterhaven Dr.
Winterhaven, CA 92283
Phone (760) 344-9951 ext. 10158

Other identifiers 1

IdentifierTypeStateIssuer
AP132070OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190211000698 TX Practitioner - Nurse Practitioner 8729356506 Reassigns benefits to 1 organization
I20231204001155 MI Practitioner - Nurse Practitioner 8729356506 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95008696CAMDFamily Nurse Practitioner
AP132070TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physician Services of Texas, P.a. CurrentSince Aug 1, 2025 Accepting new patients
Matrix Medical Plus CurrentSince Nov 1, 2023 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Organizations & group practices 2

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": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780133959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 LEROY CIR APT D",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765423233",
            "telephone_number": "415-509-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586484",
            "telephone_number": "512-228-9456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2133 Winterhaven Dr.",
            "address_purpose": "LOCATION",
            "city": "Winterhaven",
            "state": "CA",
            "postal_code": "92283",
            "country_code": "US",
            "telephone_number": "760-344-9951 x10158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHELSEA",
        "middle_name": "K",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132070",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP132070",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.