MRS. AMY RENEE LEWIS (R.N., AGPCNP-BC) – Nurse Practitioner, NPI 1164793246
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
Provider Addresses for MRS. AMY RENEE LEWIS (R.N., AGPCNP-BC)
2800 E BROAD ST
SUITE 504
MANSFIELD, TX 760636409
Phone: (817) 225-0410
Fax: (817) 453-8866
Type: Location
2800 E BROAD ST STE 517
MANSFIELD, TX 760636417
Phone: (817) 592-3360
Fax: (817) 549-5151
Type: Mailing
2800 E BROAD ST STE 504
MANSFIELD, TX 760636417
Phone: (682) 242-8930
Fax: (817) 453-8866
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 268 Open Payments records for all available years, with a total value of $4,116.
Total Amount is formed as General ($4,116) + Research ($0) + Ownership ($0) = $4,116.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($1,067).
Total Amount
$4,116
General + Research + Ownership
Payments
268
Total payment records
General Amount
$4,116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,067 |
| PFIZER INC. | $476 |
| SK Life Science, Inc. | $383 |
| Otsuka America Pharmaceutical, Inc. | $168 |
| Lilly USA, LLC | $162 |
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: 2012-08-08
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120808000989 | I | Nurse Practitioner | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 575 | 277 | $0 |
Insurance plans in this area (ZIP 76063)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | TX |
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.