CHAD MICHAEL LEWIS (N.P.) – Psychiatric/Mental Health Nurse Practitioner, NPI 1174834535

CHAD MICHAEL LEWIS (N.P.) is a healthcare provider. based in Lewiston, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. NP-959A (ID). The NPI Number for CHAD MICHAEL LEWIS (N.P.) is 1174834535

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
CHAD MICHAEL LEWIS (N.P.)
NPI
1174834535
Phone
(208) 799-6500
Address
415 6TH ST
Enumeration Date
30 June 2010
Last Update Date
30 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5093822531
Graduation Year
2009 (17 years ago)
PAC ID
8224153200
Group Practice PAC ID
5597653758
Professional Enrollment ID
I20101216000231
Address ID
WA993281606DA1012XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,798 NURSE PRACTITIONER in ID

Provider Addresses for CHAD MICHAEL LEWIS (N.P.)

  • 415 6TH ST

    LEWISTON, ID 835012431

    Phone: (208) 799-6500

    Fax: (208) 799-5554

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20100914000969INurse PractitionerIDTBD
I20101216000231INurse PractitionerWATBD
I20140410001608INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83501)

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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: 5597653758View full group profile
NameSpecialtyState
Physician AssistantWA
Diagnostic RadiologyMT
Family Practice, Internal MedicineID
Physician AssistantWA
Family PracticeWA
Diagnostic RadiologyWA
-WA
Diagnostic RadiologyCO
Diagnostic RadiologyMO
Nurse PractitionerWA

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Frequently asked questions

Can I cross-check CHAD MICHAEL LEWIS (N.P.) using NPI 1174834535?
NPI 1174834535 belongs to CHAD MICHAEL LEWIS (N.P.); compare other details if you need extra assurance.
Would CHAD MICHAEL LEWIS (N.P.) appear as active to a payer?
You can treat CHAD MICHAEL LEWIS (N.P.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to CHAD MICHAEL LEWIS (N.P.)?
CHAD MICHAEL LEWIS (N.P.)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CHAD MICHAEL LEWIS (N.P.) located near Lewiston?
CHAD MICHAEL LEWIS (N.P.) currently maps to Lewiston, Idaho in this extract.
When was this NPI issued?
Enumeration for CHAD MICHAEL LEWIS (N.P.) is noted as June 30, 2010 where the registry provides it.