HOLLY M LEWIS (MSN, APRN, AGACNP-BC) – Nurse Practitioner, NPI 1053095042

HOLLY M LEWIS (MSN, APRN, AGACNP-BC) is a healthcare provider. based in Akron, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, AGACNP-BC. They hold a License No. APRN.CNP.0034039 (OH). The NPI Number for HOLLY M LEWIS (MSN, APRN, AGACNP-BC) is 1053095042

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY M LEWIS (MSN, APRN, AGACNP-BC)
NPI
1053095042
Phone
(330) 344-6000
Address
1 AKRON GENERAL AVE
Enumeration Date
12 June 2023
Last Update Date
12 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3303446047
Graduation Year
2023 (3 years ago)
PAC ID
2769841899
Group Practice PAC ID
8426961061
Professional Enrollment ID
I20230706003774
Address ID
OH443072432AK1XXXXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for HOLLY M LEWIS (MSN, APRN, AGACNP-BC)

  • 1 AKRON GENERAL AVE

    AKRON, OH 443072432

    Phone: (330) 344-6000

    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)

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: 2023-07-06

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
I20230706003774INurse PractitionerOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3126$0
99291Critical care, first 30-74 minutes2213$0
View full utilization report →

Insurance plans in this area (ZIP 44307)

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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: 8426961061View full group profile
NameSpecialtyState
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for HOLLY M LEWIS (MSN, APRN, AGACNP-BC)?
HOLLY M LEWIS (MSN, APRN, AGACNP-BC) — NPI 1053095042 — is the standard way to identify this listing.
Can I rely on HOLLY M LEWIS (MSN, APRN, AGACNP-BC) being an active provider?
As of the registry snapshot, HOLLY M LEWIS (MSN, APRN, AGACNP-BC) is marked active.
What taxonomy line describes HOLLY M LEWIS (MSN, APRN, AGACNP-BC)?
For research purposes, treat HOLLY M LEWIS (MSN, APRN, AGACNP-BC) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect HOLLY M LEWIS (MSN, APRN, AGACNP-BC) on a map?
Expect Akron, Ohio as a primary anchor for HOLLY M LEWIS (MSN, APRN, AGACNP-BC) unless the record lists multiple sites.
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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