MARY LEWIS (CNM) – Advanced Practice Midwife, NPI 1619917168

MARY LEWIS (CNM) is a healthcare provider. based in Troy, Michigan. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 4704167710 (MI). The NPI Number for MARY LEWIS (CNM) is 1619917168

Main info

Female
50 Years Of Experience
Accepts Medicare Assignment
Name
MARY LEWIS (CNM)
NPI
1619917168
Phone
(248) 581-5970
Address
1560 E MAPLE RD
Enumeration Date
6 June 2006
Last Update Date
11 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3134889220
Graduation Year
1976 (50 years ago)
PAC ID
2264446996
Group Practice PAC ID
8628087681
Professional Enrollment ID
I20060201000444
Address ID
MI481262619DE5250XDRXX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

206 CERTIFIED NURSE MIDWIFE (CNM) in MI

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Provider Addresses for MARY LEWIS (CNM)

  • 1560, East Maple Road, Troy, Oakland County, Michigan, 48083, United States

    SUITE 400-CREDENTIALING

    TROY, MI 480831138

    Phone: (248) 581-5970

    Fax: (313) 745-4399

    Type: Mailing

  • Detroit Receiving Hospital and University Health Center, 4201, Saint Antoine Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    SUITE 4C

    DETROIT, MI 482012153

    Phone: (313) 745-4525

    Fax: (313) 745-4399

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $95.

Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Chiesi USA, Inc. ($26).

Total Amount

$95

General + Research + Ownership

Payments

5

Total payment records

General Amount

$95

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

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: 2006-02-01

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
I20060201000444ICertified Nurse Midwife (Cnm)MITBD

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 48083)

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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: 8628087681View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
H O S P I T A L I S TMI
-MI
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)MI
Internal Medicine, Infectious DiseaseMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Pulmonary Disease, Critical Care (Intensivists)MI
O P H T H A L M O L O G YPA

Reviews

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Frequently asked questions

Does MARY LEWIS (CNM) have a public NPI I can cite?
Public records show MARY LEWIS (CNM) under NPI 1619917168.
Should I treat MARY LEWIS (CNM) as an active provider?
Patients and plans typically see MARY LEWIS (CNM) as active in the national extract.
What does the directory say MARY LEWIS (CNM) does?
Insurance directories may phrase it differently, but here MARY LEWIS (CNM) maps to Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
What city is tied to MARY LEWIS (CNM)?
The directory associates MARY LEWIS (CNM) with Troy, Michigan. Check all listed addresses for suites or satellite offices.
Can I export MARY LEWIS (CNM)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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