SHELETA NECOLE LEWIS (FNP-C) – Family Nurse Practitioner, NPI 1639511793
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for SHELETA NECOLE LEWIS (FNP-C)
12450 TIMBERLAND BLVD
FORT WORTH, TX 762445554
Phone: (855) 925-4733
Type: Mailing
75 VARICK ST FL 5
NEW YORK, NY 100131917
Phone: (646) 921-9445
Type: Location
4545 Fuller Dr Ste 325
Irving, TX 750386530
Phone: (972) 870-5511
Type: Location
169 Madison Ave Ste 2817
New York, NY 100165101
Phone: (646) 921-9445
Type: Location
3355 FM 346 N
BULLARD, TX 757576448
Phone:
Type: Mailing
820 E FRONT ST
TYLER, TX 757028326
Phone: (903) 596-0602
Fax: (903) 596-0620
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-09-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20160415001005 | I | Nurse Practitioner | TX | TBD |
| I20240621002999 | I | Nurse Practitioner | IA | TBD |
| I20240718002880 | I | Nurse Practitioner | NY | TBD |
| I20240809003980 | I | Nurse Practitioner | FL | TBD |
| I20240814004748 | I | Nurse Practitioner | AZ | TBD |
| I20250902001147 | I | Nurse Practitioner | MA | 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 76244)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NJ | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NH | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA |
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