JESSICA LEWIS (APRN) – Family Nurse Practitioner, NPI 1164269502

JESSICA LEWIS (APRN) is a healthcare provider. based in Louisville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 4005512 (KY). The NPI Number for JESSICA LEWIS (APRN) is 1164269502

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LEWIS (APRN)
NPI
1164269502
Phone
Not provided
Address
3015 WILSON AVE
Enumeration Date
12 July 2024
Last Update Date
12 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
50277444011509
Graduation Year
2023 (3 years ago)
PAC ID
2062953771
Group Practice PAC ID
1658268974
Professional Enrollment ID
I20240923000329
Address ID
KY402111969LO3015XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for JESSICA LEWIS (APRN)

  • 3015 WILSON AVE

    LOUISVILLE, KY 402111969

    Phone:

    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)

CMS reports 9 Open Payments records for all available years, with a total value of $439.

Total Amount is formed as General ($439) + Research ($0) + Ownership ($0) = $439.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($137).

Total Amount

$439

General + Research + Ownership

Payments

9

Total payment records

General Amount

$439

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2024-09-23

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
I20240923000329INurse PractitionerKYTBD

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 40211)

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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: 1658268974View full group profile

Reviews

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Frequently asked questions

Can I cross-check JESSICA LEWIS (APRN) using NPI 1164269502?
NPI 1164269502 belongs to JESSICA LEWIS (APRN); compare other details if you need extra assurance.
Is JESSICA LEWIS (APRN) still an active registrant?
JESSICA LEWIS (APRN) carries an active NPI according to the public dataset.
How would a patient describe JESSICA LEWIS (APRN)'s focus?
For JESSICA LEWIS (APRN), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Kentucky is JESSICA LEWIS (APRN) registered?
Use Louisville, Kentucky as the headline location for JESSICA LEWIS (APRN) here.
Does JESSICA LEWIS (APRN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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