Individual provider Active NPI

Michelle D. Lewis, RN, CPNP

  • Pediatric Nurse Practitioner
  • Schertz, TX
National Provider Identifier
1871662635
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
657566 Issued in TX
Practice address
17323 Ih 35 N Ste 113&114
Schertz, TX 78154-1277
Phone
(210) 922-7000
Fax
(210) 924-1374
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 657566 TX Primary

Addresses

Primary practice location

17323 Ih 35 N Ste 113&114
Schertz, TX 78154-1277

Mailing address

3750 Commercial Ave
San Antonio, TX 78221-3117
Phone (210) 922-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190917003582 TX Practitioner - Nurse Practitioner 5092045088 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
657566TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro del Barrio, Inc. CurrentSince Oct 1, 2019 Accepting new patients
El Centro del Barrio, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Northeast Pediatric Associates PA Pediatrics Past Accepting new patients
Synergy Healthcare Associates, PLLC Pediatrics PastSince Mar 15, 2013 Accepting new patients
El Centro del Barrio, Inc. Past Accepting new patients

Locations

6315 S Zarzamora St
San Antonio, TX 78211
Phone (210) 924-9254

3750 Commercial Ave
San Antonio, TX 78221
Phone (210) 334-3700

17323 Interstate 35 N
Ste 113
Schertz, TX 78154

Interoperability endpoints

  • Direct secure messaging: michelle.lewis.p1@direct.centromed.nextgenshare.com

Organizations & group practices 5

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1871662635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 COMMERCIAL AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782213117",
            "telephone_number": "210-922-7000",
            "fax_number": "210-924-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17323 IH 35 N STE 113&114",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541277",
            "telephone_number": "210-922-7000",
            "fax_number": "210-924-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MICHELLE",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "657566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.