MIRANDA JEAN LEILANI LEWIS (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1215633862

MIRANDA JEAN LEILANI LEWIS (APRN) is a healthcare provider. based in Cincinnati, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3018687 (KY). The NPI Number for MIRANDA JEAN LEILANI LEWIS (APRN) is 1215633862

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MIRANDA JEAN LEILANI LEWIS (APRN)
NPI
1215633862
Phone
Not provided
Address
4600 MONTGOMERY RD STE 400
Enumeration Date
6 February 2023
Last Update Date
3 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8335104357
Graduation Year
2022 (4 years ago)
PAC ID
9931572856
Group Practice PAC ID
9032426044
Professional Enrollment ID
I20230223002016
Address ID
KY402726812LO9702XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for MIRANDA JEAN LEILANI LEWIS (APRN)

  • 4600 MONTGOMERY RD STE 400

    CINCINNATI, OH 452122600

    Phone:

    Type: Mailing

  • 9702 STONESTREET RD STE 120

    LOUISVILLE, KY 402726812

    Phone: (833) 510-4357

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2023-08-22 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($19).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-22

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: 2023-02-23

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
I20230223002016INurse PractitionerKYTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes5817$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 45212)

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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: 9032426044View full group profile
NameSpecialtyState
-OH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Clinical Social WorkerOH
Nurse PractitionerVA
Physician AssistantOH
Nurse PractitionerOH
-OH
Nurse PractitionerVA

Reviews

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Frequently asked questions

What federal number belongs to MIRANDA JEAN LEILANI LEWIS (APRN)?
The federal identifier for MIRANDA JEAN LEILANI LEWIS (APRN) is NPI 1215633862.
Is MIRANDA JEAN LEILANI LEWIS (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MIRANDA JEAN LEILANI LEWIS (APRN) treat or focus on?
Patients typically see MIRANDA JEAN LEILANI LEWIS (APRN) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MIRANDA JEAN LEILANI LEWIS (APRN)?
The snapshot lists Cincinnati, Ohio for MIRANDA JEAN LEILANI LEWIS (APRN); download NPPES for the complete set.
What if Cincinnati, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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