AMY S LEWIS (RN, FNP-BC) – Family Nurse Practitioner, NPI 1528047321

AMY S LEWIS (RN, FNP-BC) is a healthcare provider. based in Fridley, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, FNP-BC. They hold a License No. R 113728-6 (MN). The NPI Number for AMY S LEWIS (RN, FNP-BC) is 1528047321

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
AMY S LEWIS (RN, FNP-BC)
NPI
1528047321
Phone
(763) 236-4300
Address
7590 LYRIC LN NE
Enumeration Date
11 January 2006
Last Update Date
13 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3207635123
Graduation Year
1999 (27 years ago)
PAC ID
8628083698
Group Practice PAC ID
9931690047
Professional Enrollment ID
I20060213000215
Address ID
MN563083426AL610XXWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for AMY S LEWIS (RN, FNP-BC)

  • 7590, Lyric Lane Northeast, Fridley, Anoka County, Minnesota, 55432, United States

    FRIDLEY, MN 554323251

    Phone: (763) 236-4300

    Type: Location

  • 610 30TH AVE W

    ALEXANDRIA, MN 563083426

    Phone: (320) 763-5123

    Fax: (320) 763-7883

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-02-13

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
I20060213000215INurse PractitionerMNTBD

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 55432)

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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: 9931690047View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Internal MedicineMN
O B S T E T R I C S/ G Y N E C O L O G YMN
H O S P I T A L I S TMN
Emergency MedicineMI
Emergency MedicineMN
Emergency MedicineMN
U R O L O G YMN
Physician AssistantMN
Emergency MedicineMN

Reviews

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Frequently asked questions

Can I use this page to confirm AMY S LEWIS (RN, FNP-BC)'s NPI?
Yes. AMY S LEWIS (RN, FNP-BC) is listed with NPI 1528047321 in the public NPI dataset.
Does CMS list AMY S LEWIS (RN, FNP-BC) as active?
Yes — AMY S LEWIS (RN, FNP-BC) is active in the NPI listing used on this page.
What taxonomy line describes AMY S LEWIS (RN, FNP-BC)?
For research purposes, treat AMY S LEWIS (RN, FNP-BC) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for AMY S LEWIS (RN, FNP-BC)?
AMY S LEWIS (RN, FNP-BC)'s geographic hint is Fridley, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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