JESSICA NICOLE LEWIS (RN) – Family Nurse Practitioner, NPI 1770719452

JESSICA NICOLE LEWIS (RN) is a healthcare provider. based in Waverly, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. RN324394 (OH). The NPI Number for JESSICA NICOLE LEWIS (RN) is 1770719452

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA NICOLE LEWIS (RN)
NPI
1770719452
Phone
(740) 701-4690
Address
1014 FISH AND GAME RD
Enumeration Date
8 June 2009
Last Update Date
19 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7407794888
Graduation Year
2014 (12 years ago)
PAC ID
8729301973
Group Practice PAC ID
1153456579
Professional Enrollment ID
I20141219001877
Address ID
OH456019031CH455XXLANE400

Contacts

Secure Messaging
adena.inf.disease@adena.medicity.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for JESSICA NICOLE LEWIS (RN)

  • 1014 FISH AND GAME RD

    WAVERLY, OH 456909675

    Phone: (740) 701-4690

    Type: Mailing

  • Adena Regional Medical Center, 272, Hospital Road, Chillicothe, Ross County, Ohio, 45601, United States

    CHILLICOTHE, OH 456019031

    Phone: (740) 779-7500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $648.

Total Amount is formed as General ($648) + Research ($0) + Ownership ($0) = $648.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Gilead Sciences, Inc. ($159).

Total Amount

$648

General + Research + Ownership

Payments

34

Total payment records

General Amount

$648

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2014-12-19

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
I20141219001877INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45690)

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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: 1153456579View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Physician AssistantOH
O T O L A R Y N G O L O G YOH
Certified Nurse Midwife (Cnm)OH
Family PracticeOH
Thoracic SurgeryOH
Gastroenterology, Internal MedicineOH
Physician AssistantOH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

What NPI should I save for JESSICA NICOLE LEWIS (RN)?
Save NPI 1770719452 if you need a stable reference for JESSICA NICOLE LEWIS (RN).
Is JESSICA NICOLE LEWIS (RN) active in the national directory?
JESSICA NICOLE LEWIS (RN)'s public NPI profile is in an active state.
What kind of provider is JESSICA NICOLE LEWIS (RN)?
The page reflects Family Nurse Practitioner for JESSICA NICOLE LEWIS (RN). Clinical services aligned with this taxonomy classification.
Where is JESSICA NICOLE LEWIS (RN)'s primary listing?
We display Waverly, Ohio because that is what the record indicates for JESSICA NICOLE LEWIS (RN).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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