Patricia A Lewis, NP
Nurse Practitioner, Gerontology in Indianapolis, IN. Individual provider (NPI-1).
NPI number1376776005
StatusActive
Last updated in NPPESSep 25, 2014
Details
- NPI
- 1376776005
- Entity type
- Individual (NPI-1)
- Name
- Patricia A Lewis
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2009
- Last updated
- Sep 25, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 71003041A | IN | Yes |
| 163W00000X | Registered Nurse | 28143276A | IN |
Practice location
1633 N Capitol AveSte 322
Indianapolis, IN 46202-1476
Phone 317-962-2929 · Fax 317-962-2070
Mailing address
250 N Shadeland AveSte 130 - Provider Enrollment
Indianapolis, IN 46219-4959
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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