MARY LEWIS – Family Nurse Practitioner, NPI 1669425732
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MARY LEWIS
12600 CREEKSIDE LN
SUITE 6
FORT MYERS, FL 339193353
Phone: (239) 343-9237
Fax: (239) 343-9238
Type: Location
171 Center Rd
Venice, FL 342855572
Phone: (833) 674-2500
Fax: (941) 764-8455
Type: Location
1620 Tamiami Trl Ste 401
Port Charlotte, FL 339484020
Phone: (833) 674-2500
Fax: (239) 599-4126
Type: Location
1250 Tamiami Trl N Ste 305
Naples, FL 341025267
Phone: (833) 674-2500
Fax: (239) 599-4126
Type: Location
15201 N CLEVELAND AVE STE 1010
NORTH FORT MYERS, FL 339032717
Phone: (855) 674-2500
Fax: (239) 599-4126
Type: Location
2675 WINKLER AVE FL 2
FORT MYERS, FL 339019342
Phone: (877) 856-3774
Type: Mailing
Fort Myers Post Office, North Airport Road, Lee County, Florida, 33907, United States
FORT MYERS, FL 339022147
Phone: (239) 424-1449
Fax: (239) 424-1421
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $134.
Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($95).
Total Amount
$134
General + Research + Ownership
Payments
3
Total payment records
General Amount
$134
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Siemens Medical Solutions USA, Inc. | $95 |
| IRONSHORE PHARMACEUTICALS INC. | $26 |
| Lundbeck LLC | $13 |
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: 2004-01-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040102000004 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 403 | 64 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 23 | 16 | $0 |
| 87086 | Bacterial colony count, urine | 20 | 14 | $0 |
Insurance plans in this area (ZIP 33919)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL |
Reviews
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