KELLY A LEWIS (P.A.) – Physician Assistant, NPI 1396973384

KELLY A LEWIS (P.A.) is a healthcare provider. based in Glen allen, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 0110003037 (VA). The NPI Number for KELLY A LEWIS (P.A.) is 1396973384

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
KELLY A LEWIS (P.A.)
NPI
1396973384
Phone
(804) 968-5700
Address
5000 COX RD
Enumeration Date
29 June 2009
Last Update Date
10 February 2025

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
7574124919
Graduation Year
2009 (17 years ago)
PAC ID
7214080555
Group Practice PAC ID
9638275183
Professional Enrollment ID
I20090804000120
Address ID
VA234542263VI1301XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

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Provider Addresses for KELLY A LEWIS (P.A.)

  • 5000 COX RD

    GLEN ALLEN, VA 230609263

    Phone: (804) 968-5700

    Type: Mailing

  • Patient First, 705, Battlefield Boulevard North, Knell's Ridge Square Shopping Center, Essex Meadows, Chesapeake, Virginia, 23320, United States

    CHESAPEAKE, VA 233204901

    Phone: (804) 822-4351

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Braintree Laboratories, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2009-08-04

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
I20090804000120IPhysician AssistantVATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes5858$0
99203New patient office or other outpatient visit, 30-44 minutes3939$0
99213Established patient office or other outpatient visit, 20-29 minutes2218$0
View full utilization report →

Insurance plans in this area (ZIP 23060)

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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: 9638275183View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YVA
Certified Registered Nurse Anesthetist (Crna)VA
G A S T R O E N T E R O L O G YVA
Certified Registered Nurse Anesthetist (Crna)TN
General Surgery, Colorectal Surgery (Proctology)VA
Physician AssistantVA
Certified Registered Nurse Anesthetist (Crna)VA

Reviews

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Frequently asked questions

What identifier follows KELLY A LEWIS (P.A.) across health systems?
The NPI 1396973384 uniquely identifies KELLY A LEWIS (P.A.) in U.S. healthcare data.
Is KELLY A LEWIS (P.A.) currently accepting referrals based on NPI status?
Registry metadata lists KELLY A LEWIS (P.A.) as active.
What type of care does KELLY A LEWIS (P.A.) provide?
KELLY A LEWIS (P.A.)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to KELLY A LEWIS (P.A.)?
KELLY A LEWIS (P.A.) shows a connection to Glen Allen, Virginia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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