JENNIFER EMILY LEWIS (CNP) – Primary Care Nurse Practitioner, NPI 1023460367

JENNIFER EMILY LEWIS (CNP) is a healthcare provider. based in Adrian, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 4704196130 (MI). The NPI Number for JENNIFER EMILY LEWIS (CNP) is 1023460367

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER EMILY LEWIS (CNP)
NPI
1023460367
Phone
(517) 265-0600
Address
718 LAKESHIRE TRAIL
Enumeration Date
11 July 2016
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172650600
Graduation Year
2016 (10 years ago)
PAC ID
9335436856
Group Practice PAC ID
7012902265
Professional Enrollment ID
I20160928000187
Address ID
MI492211561AD781XXTRLX300
Telehealth
Yes

Contacts

Secure Messaging
jlewis57869@epicdirect.promedica.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for JENNIFER EMILY LEWIS (CNP)

  • 718, Lakeshire Trail, Adrian, Lenawee County, Michigan, 49221, United States

    ADRIAN, MI 49221

    Phone: (517) 265-0600

    Type: Mailing

  • 781, Lakeshire Trail, Adrian, Lenawee County, Michigan, 49221, United States

    ADRIAN, MI 492211561

    Phone: (517) 265-0600

    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 $208.

Total Amount is formed as General ($208) + Research ($0) + Ownership ($0) = $208.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($84).

Total Amount

$208

General + Research + Ownership

Payments

4

Total payment records

General Amount

$208

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2016-09-28

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
I20160928000187INurse PractitionerMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes210115$0
99213Established patient office or other outpatient visit, 20-29 minutes10178$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5353$0
G0008Administration of influenza virus vaccine4039$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage3635$0
View full utilization report →

Insurance plans in this area (ZIP 49221)

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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: 7012902265View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)WI
-MI
Internal MedicineMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What is the registry number for JENNIFER EMILY LEWIS (CNP)?
The registry entry for JENNIFER EMILY LEWIS (CNP) shows NPI 1023460367.
Is JENNIFER EMILY LEWIS (CNP) currently accepting referrals based on NPI status?
Registry metadata lists JENNIFER EMILY LEWIS (CNP) as active.
What type of care does JENNIFER EMILY LEWIS (CNP) provide?
JENNIFER EMILY LEWIS (CNP)'s profile centers on Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JENNIFER EMILY LEWIS (CNP)?
JENNIFER EMILY LEWIS (CNP) is associated with Adrian, Michigan in the same public data insurers reference.
Can I export JENNIFER EMILY LEWIS (CNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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