NICOLE KRISTINE LEWIS (CNP PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1407465610

NICOLE KRISTINE LEWIS (CNP PMHNP) is a healthcare provider. based in Youngstown, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP PMHNP. They hold a License No. APRN.CNP.0027193 (OH). The NPI Number for NICOLE KRISTINE LEWIS (CNP PMHNP) is 1407465610

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE KRISTINE LEWIS (CNP PMHNP)
NPI
1407465610
Phone
(330) 480-3605
Address
1044 BELMONT AVE
Enumeration Date
24 July 2020
Last Update Date
22 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3305393200
Graduation Year
2020 (6 years ago)
PAC ID
5597184937
Group Practice PAC ID
8527487750
Professional Enrollment ID
I20201002002728
Address ID
OH444842907WA1716XSEXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for NICOLE KRISTINE LEWIS (CNP PMHNP)

  • 1044 BELMONT AVE

    YOUNGSTOWN, OH 445041006

    Phone: (330) 480-3605

    Type: Location

  • 77 FOREST AVE

    LAKE MILTON, OH 444299521

    Phone: (330) 314-2919

    Type: Mailing

  • 576 LAKEVIEW BLVD

    LAKE MILTON, OH 444299689

    Phone: (330) 314-2919

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-03-17 • Largest payer in this snapshot: Alkermes, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$17
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: 2020-10-02

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
I20201002002728INurse 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 minutes17271$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes14847$0
90792Psychiatric diagnostic evaluation with medical services8674$0
99239Hospital discharge day management, more than 30 minutes7965$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 44504)

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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: 8527487750View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Mental Health CounselorOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the standard ID for NICOLE KRISTINE LEWIS (CNP PMHNP) in the U.S.?
In the U.S., NICOLE KRISTINE LEWIS (CNP PMHNP) is identified by NPI 1407465610.
Should I treat NICOLE KRISTINE LEWIS (CNP PMHNP) as an active provider?
Patients and plans typically see NICOLE KRISTINE LEWIS (CNP PMHNP) as active in the national extract.
How should patients interpret NICOLE KRISTINE LEWIS (CNP PMHNP)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for NICOLE KRISTINE LEWIS (CNP PMHNP). Clinical services aligned with this taxonomy classification.
Which community is linked to NICOLE KRISTINE LEWIS (CNP PMHNP)?
NICOLE KRISTINE LEWIS (CNP PMHNP) shows a connection to Youngstown, Ohio in registry-derived data.
Why is information missing for NICOLE KRISTINE LEWIS (CNP PMHNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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