Individual provider Active NPI

Patricia A. Lewis

  • Family Nurse Practitioner
  • Monroeville, PA
National Provider Identifier
1851598098
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP008087 Issued in PA
Practice address
4111 William Penn Highway
Monroeville, PA 15146
Phone
(866) 825-3227
Fax
(484) 351-3800
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SP008087 PA Primary

Addresses

Primary practice location

4111 William Penn Highway
Monroeville, PA 15146

Mailing address

161 Washington Street, Eight Tower Bridge
Suite 1400
Conshohocken, PA 19428
Phone (484) 351-3200

Other identifiers 1

IdentifierTypeStateIssuer
SP008087OtherPALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070823000476 PA Practitioner - Nurse Practitioner 6002908910 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP008087PAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: patricia.lewis.1@24969.direct.athenahealth.com

Organizations & group practices 1

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851598098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WASHINGTON STREET, EIGHT TOWER BRIDGE",
            "address_2": "SUITE 1400",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "19428",
            "telephone_number": "484-351-3200",
            "fax_number": "484-351-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 WILLIAM PENN HIGHWAY",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "15146",
            "telephone_number": "866-825-3227",
            "fax_number": "484-351-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "PATRICIA",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP008087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SP008087",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.