Individual provider Active NPI

Nikki N Lewis, NP

  • Gerontology Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1780963496
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP120637 Issued in TX
Practice address
4440 S Piedras Dr Lot 57
San Antonio, TX 78228-1211
Phone
(225) 733-4268
Fax
(210) 547-2791
NPI assigned
Aug 11, 2011
Last updated
May 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP120637 TX Primary

Addresses

Primary practice location

4440 S Piedras Dr Lot 57
San Antonio, TX 78228-1211

Mailing address

4440 S Piedras Dr
San Antonio, TX 78228-1211
Phone (225) 733-4268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20111006000236 TX Practitioner - Nurse Practitioner 1355513813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
N and J Caring, LLCGroup PAC ID 3173893740, 2 clinicians
Rise Up Rehab, LLCGroup PAC ID 3274861497, 118 clinicians

Practice addresses (Care Compare)

142 Misty Dawn
Castroville, TX 78009-3438
Phone (830) 538-6320

16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 572-4954

Merit-based Incentive Payment System (MIPS)

Final score
16.17 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
53.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
N & J Caring, LLC Gerontology CurrentSince May 22, 2017 Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1780963496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 S PIEDRAS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281211",
            "telephone_number": "225-733-4268",
            "fax_number": "210-547-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 S PIEDRAS DR LOT 57",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281211",
            "telephone_number": "225-733-4268",
            "fax_number": "210-547-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "NIKKI",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP120637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.