Individual provider Active NPI

Madeline Bennett Lewis, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Berea, KY
National Provider Identifier
1851054787
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3016533 Issued in KY
Practice address
852 Ridgewood Dr Ste a
Berea, KY 40403-9814
Phone
(859) 985-2656
Fax
(859) 985-2680
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3016533 KY Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 1133663 KY
Nurse Practitioner 363L00000X 3016533 KY

Addresses

Primary practice location

852 Ridgewood Dr Ste a
Berea, KY 40403-9814

Mailing address

852 Ridgewood Dr Ste a
Berea, KY 40403-9814
Phone (859) 985-2656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20220303001201 KY Practitioner - Nurse Practitioner 4880088012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

107 Meridian Way
Suite 200
Richmond, KY 40475-2878
Phone (859) 624-6366

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1133663KYMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2022 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner Past Accepting new patients

Locations

852 Ridgewood Dr
Berea, KY 40403
Phone (859) 985-2656

96 Future Dr
Corbin, KY 40701

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

107 Meridian Way
Ste 200
Richmond, KY 40475
Phone (859) 624-6366

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1851054787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 RIDGEWOOD DR STE A",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039814",
            "telephone_number": "859-985-2656",
            "fax_number": "859-985-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 RIDGEWOOD DR STE A",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404039814",
            "telephone_number": "859-985-2656",
            "fax_number": "859-985-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MADELINE",
        "middle_name": "BENNETT",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3016533",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "KY",
            "license": "1133663",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3016533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, KY

Sources for this page

Verify at the official NPI Registry.