CORY LAMAR LEWIS – Certified Registered Nurse Anesthetist, NPI 1093224289

CORY LAMAR LEWIS is a healthcare provider. based in Boise, Idaho. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 56935 (ID). The NPI Number for CORY LAMAR LEWIS is 1093224289

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
CORY LAMAR LEWIS
NPI
1093224289
Phone
(208) 367-6416
Address
1055 N CURTIS RD
Enumeration Date
20 September 2017
Last Update Date
20 September 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2086724640
Graduation Year
2017 (9 years ago)
PAC ID
2668739319
Group Practice PAC ID
0345679981
Professional Enrollment ID
I20171205001619
Address ID
ID836424401ME1859XWAYX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID

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Provider Addresses for CORY LAMAR LEWIS

  • Saint Alphonsus Regional Medical Center, 1055, North Curtis Road, Boise Junction, Boise, Ada County, Idaho, 83706, United States

    BOISE, ID 837061309

    Phone: (208) 367-6416

    Type: Location

  • 23252 EL PASO RD

    CALDWELL, ID 836077776

    Phone: (208) 850-8029

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($121).

Total Amount

$121

General + Research + Ownership

Payments

1

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

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: 2017-12-05

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
I20171205001619ICertified Registered Nurse Anesthetist (Crna)IDTBD

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
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance2727$0
View full utilization report →

Insurance plans in this area (ZIP 83706)

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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: 0345679981View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID

Reviews

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Frequently asked questions

What is the registry number for CORY LAMAR LEWIS?
The registry entry for CORY LAMAR LEWIS shows NPI 1093224289.
Is CORY LAMAR LEWIS's NPI status active today?
Active status means CORY LAMAR LEWIS's NPI record is not deactivated in the public file.
What does the directory say CORY LAMAR LEWIS does?
Insurance directories may phrase it differently, but here CORY LAMAR LEWIS maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is CORY LAMAR LEWIS tied to Boise, Idaho?
If you are local to Boise, Idaho, CORY LAMAR LEWIS may be relevant to your search.
Can I export CORY LAMAR LEWIS's record?
You can download the official NPPES record; we summarize key fields for readability.

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