RICKY L LEWIS (CRNP) – Nurse Practitioner, NPI 1194747584

RICKY L LEWIS (CRNP) is a healthcare provider. based in Andalusia, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-061464 (AL). The NPI Number for RICKY L LEWIS (CRNP) is 1194747584

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
RICKY L LEWIS (CRNP)
NPI
1194747584
Phone
(334) 222-8421
Address
835 S THREE NOTCH ST
Enumeration Date
24 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
3342228421
Graduation Year
2000 (26 years ago)
PAC ID
0042372682
Group Practice PAC ID
2961425251
Professional Enrollment ID
I20081216000518
Address ID
AL364205321AN835XXSTXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for RICKY L LEWIS (CRNP)

  • 835, South Three Notch Street, Andalusia, Covington County, Alabama, 36420, United States

    ANDALUSIA, AL 364205321

    Phone: (334) 222-8421

    Fax: (334) 222-1248

    Type: Location

  • PO BOX 398

    ANDALUSIA, AL 364201207

    Phone: (334) 222-8421

    Fax: (334) 222-1248

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $1,417.

Total Amount is formed as General ($1,417) + Research ($0) + Ownership ($0) = $1,417.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($288).

Total Amount

$1,417

General + Research + Ownership

Payments

83

Total payment records

General Amount

$1,417

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081216000518INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes543279$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes18350$0
99213Established patient office or other outpatient visit, 20-29 minutes175122$0
87804Detection test by immunoassay with direct visual observation for influenza virus5931$0
G0008Administration of influenza virus vaccine4646$0
View full utilization report →

Insurance plans in this area (ZIP 36420)

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Provider's Procedures

RICKY L LEWIS (CRNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERAL83036Hemoglobin A1C level12678

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961425251View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerFL
Nurse PractitionerAL
-AL
Family PracticeAL

Reviews

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Frequently asked questions

What unique ID ties claims to RICKY L LEWIS (CRNP)?
NPI 1194747584 is assigned to RICKY L LEWIS (CRNP) under the national enumeration system.
Is RICKY L LEWIS (CRNP)'s NPI currently valid?
The extract we use shows RICKY L LEWIS (CRNP) as active.
What kind of provider is RICKY L LEWIS (CRNP)?
The page reflects Nurse Practitioner for RICKY L LEWIS (CRNP). Clinical services aligned with this taxonomy classification.
Does RICKY L LEWIS (CRNP) practice in Alabama?
You will see Andalusia, Alabama on file for RICKY L LEWIS (CRNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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