MRS. JACQUELYN MARIE LEWIS (PA-C) – Physician Assistant, NPI 1386150746
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for MRS. JACQUELYN MARIE LEWIS (PA-C)
1701 Lake Lansing Rd
Lansing, MI 489123798
Phone: (989) 427-5320
Fax: (989) 427-8220
Type: Location
1021 E Main St
Edmore, MI 488298740
Phone: (989) 427-5320
Fax: (989) 427-8220
Type: Location
1021, East Main Street, Edmore, Home Township, Montcalm County, Michigan, 48829, United States
EDMORE, MI 488298740
Phone: (989) 427-5320
Fax: (989) 427-8820
Type: Mailing
3955 PATIENT CARE DR STE A
LANSING, MI 489114271
Phone: (517) 374-7600
Fax: (885) 480-9150
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 246 Open Payments records for all available years, with a total value of $3,734.
Total Amount is formed as General ($3,734) + Research ($0) + Ownership ($0) = $3,734.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($525).
Total Amount
$3,734
General + Research + Ownership
Payments
246
Total payment records
General Amount
$3,734
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $525 |
| Novo Nordisk Inc | $495 |
| PFIZER INC. | $461 |
| Otsuka America Pharmaceutical, Inc. | $444 |
| AstraZeneca Pharmaceuticals LP | $152 |
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: 2018-01-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180104000943 | I | Physician Assistant | MI | 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 | 249 | 92 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 129 | 18 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 45 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 49 | 49 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 46 | 17 | $0 |
Insurance plans in this area (ZIP 48912)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Osteopathic Manipulative Medicine | MI | |
| Internal Medicine | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | MI | |
| - | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.