PETRINA CELESTE LEWIS (DPM) – Podiatrist, NPI 1215935457

PETRINA CELESTE LEWIS (DPM) is a healthcare provider. based in Renton, Washington. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. P000000595 (WA). The NPI Number for PETRINA CELESTE LEWIS (DPM) is 1215935457

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
PETRINA CELESTE LEWIS (DPM)
NPI
1215935457
Phone
(425) 277-3668
Address
4300 TALBOT RD S
Enumeration Date
12 July 2005
Last Update Date
28 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
9739079492
Group Practice PAC ID
6305736067
Professional Enrollment ID
I20190820001866
Address ID
WA980556238Re4300XSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

472 PODIATRY in AZ

Provider Addresses for PETRINA CELESTE LEWIS (DPM)

  • Cascade Vision Center, 4300, Talbot Road South, Renton, King County, Washington, 98055, United States

    SUITE 102

    RENTON, WA 980556238

    Phone: (425) 277-3668

    Fax: (425) 277-0732

    Type: Mailing

  • 9343 E SHEA BLVD # B-130

    SCOTTSDALE, AZ 852606802

    Phone: (425) 277-3668

    Fax: (425) 277-0732

    Type: Location

  • 4300 Talbot Rd S

    Suite 102

    Renton, WA 980556238

    Phone: (425) 277-3668

    Fax: (425) 277-0732

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $331.

Total Amount is formed as General ($331) + Research ($0) + Ownership ($0) = $331.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Ortho Dermatologics, a division of Bausch Health US, LLC ($116).

Total Amount

$331

General + Research + Ownership

Payments

17

Total payment records

General Amount

$331

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2022-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190820001866IPodiatryWATBD
I20220817003370IPodiatryAZTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6337$0
99203New patient office or other outpatient visit, 30-44 minutes3838$0
73630X-ray of foot, minimum of 3 views3127$0
17110Destruction of skin growth, 1-14 growths2212$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 98055)

Loading plans...

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: 6305736067View full group profile
NameSpecialtyState
P O D I A T R YWA
P O D I A T R YWA
P O D I A T R YWA

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.

Frequently asked questions

Is PETRINA CELESTE LEWIS (DPM) listed with a National Provider Identifier?
Yes — PETRINA CELESTE LEWIS (DPM) has NPI 1215935457 on file in the registry.
Is PETRINA CELESTE LEWIS (DPM) still an active registrant?
PETRINA CELESTE LEWIS (DPM) carries an active NPI according to the public dataset.
How would a patient describe PETRINA CELESTE LEWIS (DPM)'s focus?
For PETRINA CELESTE LEWIS (DPM), the primary taxonomy reads as Podiatrist. Clinical services aligned with this taxonomy classification.
Is PETRINA CELESTE LEWIS (DPM) associated with Renton?
Public fields place PETRINA CELESTE LEWIS (DPM) around Renton, Washington. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

Cascade Vision Center, 4300, Talbot Road South, Renton, King County, Washington, 98055, United States
NPI: 1770581910
327, Morris Avenue South, Renton, King County, Washington, 98057, United States
NPI: 1194702274
9399 Ridgetop Blvd NW Ste A
NPI: 1346265261
4520 42ND AVE SW STE 34
NPI: 1336208321

DR. JOHN KITTRELL CLYDE (D.P.M.)

Foot & Ankle Surgery Podiatrist
526 N MULLAN RD
NPI: 1831402841
9399 RIDGETOP BLVD NW STE A
NPI: 1407227424
3439 E LAKE SAMM SHORE LN NE
NPI: 1407365018
Valley Foot & Ankle, 433, Southwest 41st Street, Renton, King County, Washington, 98055, United States
NPI: 1063067825
4300 TALBOT RD S STE 102
NPI: 1497328330