SHELETA NECOLE LEWIS (FNP-C) – Family Nurse Practitioner, NPI 1639511793

SHELETA NECOLE LEWIS (FNP-C) is a healthcare provider. based in Fort worth, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. AP125065 (TX). The NPI Number for SHELETA NECOLE LEWIS (FNP-C) is 1639511793

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
SHELETA NECOLE LEWIS (FNP-C)
NPI
1639511793
Phone
(855) 925-4733
Address
12450 TIMBERLAND BLVD
Enumeration Date
17 July 2013
Last Update Date
23 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8885532823
Graduation Year
2023 (3 years ago)
PAC ID
4284860974
Group Practice PAC ID
4183035876
Professional Enrollment ID
I20240718002880
Address ID
NY100165101NE169XXAVEX368
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160415001005INurse PractitionerTXTBD
I20240621002999INurse PractitionerIATBD
I20240718002880INurse PractitionerNYTBD
I20240809003980INurse PractitionerFLTBD
I20240814004748INurse PractitionerAZTBD
I20250902001147INurse PractitionerMATBD

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 76244)

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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: 4183035876View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerFL
Nurse PractitionerNM
Nurse PractitionerIN
Nurse PractitionerNY
Nurse PractitionerNY
Nurse PractitionerNH
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerGA

Reviews

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Frequently asked questions

What number should I use to identify SHELETA NECOLE LEWIS (FNP-C) for billing?
Administrative and clinical systems typically use NPI 1639511793 for SHELETA NECOLE LEWIS (FNP-C).
Is SHELETA NECOLE LEWIS (FNP-C) currently accepting referrals based on NPI status?
Registry metadata lists SHELETA NECOLE LEWIS (FNP-C) as active.
What services align with SHELETA NECOLE LEWIS (FNP-C)'s listing?
SHELETA NECOLE LEWIS (FNP-C)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit SHELETA NECOLE LEWIS (FNP-C) in Fort Worth, Texas?
For routing, start with Fort Worth, Texas for SHELETA NECOLE LEWIS (FNP-C), then verify phone and hours locally.
Why is information missing for SHELETA NECOLE LEWIS (FNP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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