Individual provider Active NPI

Cynthia S. Lewin, ARNP

  • Family Nurse Practitioner
  • Sergeant Bluff, IA
National Provider Identifier
1962467456
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
059326 Issued in IA
Practice address
319 Sergeant Square Dr
Sergeant Bluff, IA 51054-7729
Phone
(712) 943-2500
Fax
(712) 943-5696
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical Foundation 1,254 clinicians

Practice addresses (Care Compare)

319 Sergeant Square Dr
Sergeant Bluff, IA 51054-7729
Phone (712) 943-2500

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Sioux City, IA, CCN 167159
  • St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 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
I20060330000699 IA Practitioner - Nurse Practitioner 5395753461 Reassigns benefits to 1 organization
I20061201000124 NE Practitioner - Nurse Practitioner 5395753461 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
059326IAMDFamily Nurse Practitioner
110627NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Sep 6, 2015 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

319 Sergeant Square Dr
Sergeant Bluff, IA 51054
Phone (712) 943-2500

2730 Pierce St
Ste 205
Sioux City, IA 51104
Phone (712) 279-3383

3035 Hamilton Blvd
Sioux City, IA 51104
Phone (712) 535-7400

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

301 N 31st St
Norfolk, NE 68701
Phone (402) 494-4273

Interoperability endpoints

  • Direct secure messaging: clewin128295@direct.unitypoint.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 059326 IA Primary
Family Nurse Practitioner 363LF0000X 110627 NE

Addresses

NPPES NPI Registry

Primary practice location

319 Sergeant Square Dr
Sergeant Bluff, IA 51054-7729

Mailing address

319 Sergeant Square Dr
Sergeant Bluff, IA 51054-7729
Phone (712) 943-2500

Other identifiers 5

NPPES NPI Registry
IdentifierTypeStateIssuer
6827852MedicaidSD
10025457800MedicaidNE
970009780OtherMEDICARE RAILROAD
2423327MedicaidIA
11264OtherWELLMARK BCBS OF IOWA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2015.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1962467456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 SERGEANT SQUARE DR",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510547729",
            "telephone_number": "712-943-2500",
            "fax_number": "712-943-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 SERGEANT SQUARE DR",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510547729",
            "telephone_number": "712-943-2500",
            "fax_number": "712-943-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIN",
        "first_name": "CYNTHIA",
        "middle_name": "S.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "059326",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110627",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6827852",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025457800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "970009780",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2423327",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS OF IOWA",
            "identifier": "11264",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sergeant Bluff, IA

Sources for this page

Verify at the official NPI Registry.