Individual provider Active NPI

Mindy Ann Lewis, DNP

  • Family Nurse Practitioner
  • Montesano, WA
National Provider Identifier
1841765641
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60892422 Issued in WA
Practice address
319 East Pioneer Avenue
Montesano, WA 98563
Phone
(360) 249-3300
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60892422 WA Primary

Addresses

Primary practice location

319 East Pioneer Avenue
Montesano, WA 98563

Mailing address

1504 E Beacon Ave Apt 8
Montesano, WA 98563-9756
Phone (270) 493-1573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20191106001180 WA Practitioner - Nurse Practitioner 8325376635 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60892422WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor Community Hospital CurrentSince Aug 25, 2019 Accepting new patients
Grays Harbor Community Hospital CurrentSince Aug 25, 2019 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients

Locations

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

1006 N H St
Fl 3
Aberdeen, WA 98520
Phone (360) 533-6300

319 E Pioneer Ave
Montesano, WA 98563
Phone (360) 249-1980

Organizations & group practices 3

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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1841765641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 E BEACON AVE APT 8",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985639756",
            "telephone_number": "270-493-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 EAST PIONEER AVENUE",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "98563",
            "telephone_number": "360-249-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MINDY",
        "middle_name": "ANN",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60892422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montesano, WA

Sources for this page

Verify at the official NPI Registry.