BETH NICHOLE JORDAN-LEWIS (CRNA, AGACNP-BC) – Certified Registered Nurse Anesthetist, NPI 1376601351
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,752 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN
Provider Addresses for BETH NICHOLE JORDAN-LEWIS (CRNA, AGACNP-BC)
1508 Tombras Ave
East Ridge, TN 374122720
Phone: (423) 867-4969
Fax: (423) 867-4971
Type: Location
5380 TECH DATA DR STE 101
CLEARWATER, FL 337603122
Phone: (727) 431-7241
Type: Mailing
980, Milwaukee Avenue, Heath Side Villas, Dunedin, Pinellas County, Florida, 34698, United States
DUNEDIN, FL 346987072
Phone: (727) 733-4610
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $192.
Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.
Last reported payment date: 2024-05-22 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($192).
Total Amount
$192
General + Research + Ownership
Payments
1
Total payment records
General Amount
$192
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $192 |
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: 2024-03-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060425000385 | I | Certified Registered Nurse Anesthetist (Crna) | TN | TBD |
| I20200312000488 | I | Certified Registered Nurse Anesthetist (Crna) | FL | TBD |
| I20231218000696 | I | Certified Registered Nurse Anesthetist (Crna) | NY | TBD |
| I20240314003843 | I | Certified Registered Nurse Anesthetist (Crna) | WA | TBD |
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.
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 37412)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.