MICHAEL DEAN LEWIS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1508674516

MICHAEL DEAN LEWIS (CRNA) is a healthcare provider. based in Olympia, Washington. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. AP61649011 (WA). The NPI Number for MICHAEL DEAN LEWIS (CRNA) is 1508674516

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL DEAN LEWIS (CRNA)
NPI
1508674516
Phone
Not provided
Address
834 95TH LN SE
Enumeration Date
23 December 2024
Last Update Date
5 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607541727
Graduation Year
2024 (2 years ago)
PAC ID
7113449216
Group Practice PAC ID
4789571092
Professional Enrollment ID
I20250318003104
Address ID
WA985028144OL406XXSWXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:1State licenses:2Digital endpointsOther names

987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

Provider Addresses for MICHAEL DEAN LEWIS (CRNA)

  • 834 95TH LN SE

    OLYMPIA, WA 985019211

    Phone:

    Type: Mailing

  • 3900 CAPITAL MALL DR SW

    OLYMPIA, WA 985028654

    Phone: (360) 754-5858

    Type: Location

  • 209 Lilly Rd NE

    Olympia, WA 985065030

    Phone: (360) 413-8250

    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: 2025-03-18

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
I20250318003104ICertified Registered Nurse Anesthetist (Crna)WATBD

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 98501)

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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: 4789571092View full group profile
NameSpecialtyState
P A T H O L O G YWA
P A T H O L O G YFL
Certified Registered Nurse Anesthetist (Crna)WA
Nurse PractitionerWA
Certified Registered Nurse Anesthetist (Crna)NE
N E U R O L O G YWA
Gastroenterology, Internal MedicineWA
Certified Registered Nurse Anesthetist (Crna)WA
Gastroenterology, Internal MedicineWA
-WA

Reviews

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Frequently asked questions

Is MICHAEL DEAN LEWIS (CRNA) listed with a National Provider Identifier?
Yes — MICHAEL DEAN LEWIS (CRNA) has NPI 1508674516 on file in the registry.
Is there an active status for MICHAEL DEAN LEWIS (CRNA)?
For scheduling context, MICHAEL DEAN LEWIS (CRNA) is shown as active in the registry.
What clinical focus is listed for MICHAEL DEAN LEWIS (CRNA)?
At a glance, MICHAEL DEAN LEWIS (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MICHAEL DEAN LEWIS (CRNA) located near Olympia?
MICHAEL DEAN LEWIS (CRNA) currently maps to Olympia, Washington in this extract.
Can I trust this NPI listing for MICHAEL DEAN LEWIS (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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