Individual provider Active NPI

Gina Marie Lewis, P.A

  • Medical Physician Assistant
  • Springfield, MA
National Provider Identifier
1831447820
Registry record updated Aug 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA4449 Issued in MA
Practice address
3640 Main St
Springfield, MA 01107-1145
Phone
(413) 328-0617
NPI assigned
Aug 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA4449 MA Primary

Addresses

Primary practice location

3640 Main St
Springfield, MA 01107-1145

Mailing address

51 Van Deene Ave
Apt O1
West Springfield, MA 01089-3218
Phone (413) 328-0617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20121114000201 MA Practitioner - Physician Assistant 3779734041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Group of Western New England, P.C.Group PAC ID 9436120847, 12 clinicians

Practice addresses (Care Compare)

3640 Main St
Suite 103
Springfield, MA 01107-1139
Phone (413) 785-5321

61 Locust St
Northampton, MA 01060-2546
Phone 41378553216224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA4449MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc PastSince Feb 23, 2026 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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1345593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345593600000",
    "number": "1831447820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 VAN DEENE AVE",
            "address_2": "APT O1",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893218",
            "telephone_number": "413-328-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071145",
            "telephone_number": "413-328-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-22",
        "last_updated": "2012-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA4449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.