MS. NICHOLE MICHELE LEWIS (PA) – Physician Assistant, NPI 1730357104
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
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Provider Addresses for MS. NICHOLE MICHELE LEWIS (PA)
9401, Holy Cross Lane, Breese, Clinton County, Illinois, 62230, United States
STE 113
BREESE, IL 622303510
Phone: (618) 526-8430
Fax: (618) 526-7275
Type: Mailing
Darou, Saint-Louis, 32000, Senegal
SUITE 175
SAINT LOUIS, MO 631418657
Phone: (314) 628-9000
Fax: (314) 628-9696
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 747-2066
Fax: (314) 747-7111
Type: Mailing
4921 PARKVIEW PL
DIV IM GASTROENTEROLOGY, STE 12B
SAINT LOUIS, MO 631101032
Phone: (314) 747-2066
Fax: (314) 747-7111
Type: Location
660 SOUTH EUCLID
CAMPUS BOX 8124
ST. LOUIS, MO 63110
Phone: (314) 747-2066
Type: Mailing
4921 PARKVIEW PL STE 12B
SAINT LOUIS, MO 631101032
Phone: (314) 747-2066
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $299.
Total Amount is formed as General ($299) + Research ($0) + Ownership ($0) = $299.
Last reported payment date: 2023-10-17 • Largest payer in this snapshot: Ardelyx, Inc. ($272).
Total Amount
$299
General + Research + Ownership
Payments
4
Total payment records
General Amount
$299
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ardelyx, Inc. | $272 |
| ABBVIE INC. | $14 |
| Salix Pharmaceuticals, a division of Bausch Health US, 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: 2017-02-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080414000617 | I | Physician Assistant | MO | TBD |
| I20170207000108 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 109 | 85 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 66 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 30 | 30 | $0 |
Insurance plans in this area (ZIP 62230)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
Reviews
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