Individual provider Active NPI

Lynn Lewis, CNP

  • Family Nurse Practitioner
  • Milan, MI
National Provider Identifier
1871685040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704133792 Issued in MI
Practice address
905 Dexter St
Milan, MI 48160-1160
Phone
(734) 439-2429
Fax
(734) 439-0200
NPI assigned
Sep 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 4704133792 MI Primary

Addresses

Primary practice location

905 Dexter St
Milan, MI 48160-1160

Mailing address

2100 Commonwealth Blvd
Suite 202
Ann Arbor, MI 48105-1593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

24 Frank Lloyd Wright Dr
PO Box 0446 Lobby J
Ann Arbor, MI 48106-0446

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704133792MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation Current Accepting new patients
Iha Health Services Corporation CurrentSince Jan 11, 2014 Accepting new patients
Iha Health Service Corporation CurrentSince Jan 11, 2014 Accepting new patients

Locations

2100 Commonwealth Blvd
Ste 202
Ann Arbor, MI 48105

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

870 E Arkona Rd
Ste 100
Milan, MI 48160
Phone (734) 439-2429

905 Dexter St
Milan, MI 48160
Phone (734) 439-2429

990 W Ann Arbor Trl
Plymouth, MI 48170
Phone (734) 414-1088

4990 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 572-7500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871685040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 COMMONWEALTH BLVD",
            "address_2": "SUITE 202",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 DEXTER ST",
            "city": "MILAN",
            "state": "MI",
            "postal_code": "481601160",
            "telephone_number": "734-439-2429",
            "fax_number": "734-439-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704133792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, MI

Sources for this page

Verify at the official NPI Registry.