Individual provider Active NPI

Rachael E Lewis, CRNP

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1801311378
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R194313 Issued in MD
Practice address
5890 Waterloo Rd
Columbia, MD 21045-2617
Phone
(667) 214-2100
NPI assigned
Aug 7, 2017
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X ARNP9466719 FL
Family Nurse Practitioner 363LF0000X R194313 MD Primary
Family Nurse Practitioner 363LF0000X 9466719 FL

Addresses

Primary practice location

5890 Waterloo Rd
Columbia, MD 21045-2617

Mailing address

5890 Waterloo Rd
Columbia, MD 21045-2617
Phone (667) 214-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20190621000213 MD Practitioner - Nurse Practitioner 0345501979 Reassigns benefits to 4 organizations
I20190621000398 DC Practitioner - Nurse Practitioner 0345501979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

29 S Paca St
Baltimore, MD 21201-1771
Phone (667) 214-2100

408 W Lombard St
Baltimore, MD 21201-1601
Phone (667) 214-2100

5890 Waterloo Rd
Columbia, MD 21045-2617
Phone (667) 214-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9466719FLMDFamily Nurse Practitioner
ARNP9466719FLMDFamily Nurse Practitioner
R194313MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Family Medicine Associates, P.a. Multi-Specialty CurrentSince Jan 31, 2022 Accepting new patients
Medstar Urgent Care LLC Multi-Specialty CurrentSince Dec 1, 2020 Accepting new patients
University of Maryland Family Medicine Associates, P.a. Multi-Specialty CurrentSince Jan 31, 2022 Accepting new patients
Medstar Urgent Care, LLC Multi-Specialty CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care LLC Multi-Specialty Current Accepting new patients
Medstar Urgent Care LLC Multi-Specialty CurrentSince Dec 1, 2020 Accepting new patients
University of Maryland Faculty Physicians Immediate Care, LLC Multi-Specialty CurrentSince Jan 31, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2114 Generals Hwy
Annapolis, MD 21401
Phone (410) 224-6483

29 S Paca St
Baltimore, MD 21201
Phone (410) 328-2603

408 W Lombard St
Baltimore, MD 21201
Phone (667) 214-1899

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

882 Muddy Branch Rd
Gaithersburg, MD 20878
Phone (410) 721-0311

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

350 Fortune Ter
Ste D
Rockville, MD 20854
Phone (301) 309-0016

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Interoperability endpoints

  • Direct secure messaging: rlewis681140@direct.umm.edu

Organizations & group practices 9

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 4

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1801311378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 WATERLOO RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452617",
            "telephone_number": "667-214-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 WATERLOO RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452617",
            "telephone_number": "667-214-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "RACHAEL",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9466719",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R194313",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9466719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.