Individual provider Active NPI

Jamie Arnett Lewandowski, PAC

  • Physician Assistant
  • Coldwater, MI
National Provider Identifier
1891976304
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006971 Issued in MI
Practice address
410 N Willowbrook Rd
Coldwater, MI 49036-9462
Phone
(517) 279-9599
Fax
(517) 279-1679
NPI assigned
Nov 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1095 KY
Physician Assistant 363A00000X 50002705 OH
Physician Assistant 363A00000X 5601006971 MI Primary
Physician Assistant 363A00000X IN

Addresses

Primary practice location

410 N Willowbrook Rd
Coldwater, MI 49036-9462

Mailing address

410 N Willowbrook Rd
Coldwater, MI 49036-9462
Phone (517) 279-9599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140416002478 MI Practitioner - Physician Assistant 1254414832 Reassigns benefits to 1 organization
I20140710001108 IN Practitioner - Physician Assistant 1254414832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice and Orthopedic Care Center PCGroup PAC ID 8820123730, 9 clinicians

Practice addresses (Care Compare)

410 N Willowbrook Rd
Coldwater, MI 49036-9462
Phone (517) 279-9599

Hospital & facility affiliations

  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
  • Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037
  • Cameron Health Hospital, Angola, IN, CCN 151315

Merit-based Incentive Payment System (MIPS)

Final score
95.57 of 100Reported as group
Quality
100
Improvement activities
40
Cost
85.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice & Orthopedic Care Center P.C. CurrentSince Mar 24, 2014 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Center for Advanced Spine Technologies Inc Past Accepting new patients

Locations

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

410 N Willowbrook Rd
Coldwater, MI 49036
Phone (517) 279-7887

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.

Hospital & facility affiliations 3

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": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1891976304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N WILLOWBROOK RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490369462",
            "telephone_number": "517-279-9599",
            "fax_number": "517-279-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N WILLOWBROOK RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490369462",
            "telephone_number": "517-279-9599",
            "fax_number": "517-279-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWANDOWSKI",
        "first_name": "JAMIE",
        "middle_name": "ARNETT",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1095",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50002705",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006971",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.