MRS. KATHRYN ELIZABETH LEWIS – Nurse Practitioner, NPI 1649528076
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. KATHRYN ELIZABETH LEWIS
24211 Little Mack Ave Ste A
Saint Clair Shores, MI 480801151
Phone: (586) 498-0440
Fax: (586) 498-0421
Type: Location
15855 19 MILE RD
CLINTON TWP, MI 480383504
Phone: (800) 532-2411
Type: Location
46503 ARAPAHOE DR
MACOMB, MI 480443105
Phone: (248) 765-3545
Type: Mailing
1101 W UNIVERSITY DR
ROCHESTER, MI 483071863
Phone: (248) 652-5000
Type: Location
24211 LITTLE MACK AVE APT 2
SAINT CLAIR SHORES, MI 480801151
Phone: (586) 498-0421
Fax: (586) 498-0421
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $165.
Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($55).
Total Amount
$165
General + Research + Ownership
Payments
8
Total payment records
General Amount
$165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-07-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240715004081 | I | Nurse Practitioner | MI | 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 48080)
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