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JUDITH G LEWALLEN FNP
NPI 1093715740
Nurse Practitioner - Family in Pineville, MO

Active since July 22, 2005PECOS Enrolled
100 JESSIE JAMES BLVD, PINEVILLE, MO 64856(417) 223-7050(417) 223-7055 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Judith G Lewallen Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDITH G LEWALLEN FNP (NPI 1093715740) is an individual family provider in Pineville, Missouri, licensed in Arkansas (A03622) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093715740
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJUDITH G LEWALLENCredential: FNP
Location Address100 JESSIE JAMES BLVDPineville, MO 64856
Mailing Address100 Jessie James BlvdPineville, MO 64856 · (417) 223-7050 · Fax (417) 223-7055
Phone(417) 223-7050
Fax(417) 223-7055
Sole ProprietorNo
Enumeration DateJuly 22, 2005
Last NPPES UpdateOctober 26, 2012
✔ NPI 1093715740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AR · A03622✔ Licensed in MO · 085477
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1028 (AK)
100 JESSIE JAMES BLVD, Pineville, MO 64856
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Other Names 1

Former Name (1)Judith G Keeton Fnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judith G Lewallen Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64856 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judith Lewallen's NPI number?

The NPI number for Judith Lewallen is 1093715740. It was assigned to this individual provider in the NPPES registry on July 22, 2005. The provider is also known as Judith G Keeton Fnp.

Where is Judith Lewallen located?

Judith Lewallen practices at 100 Jessie James Blvd, Pineville, MO 64856. The listed phone number is (417) 223-7050.

What is Judith Lewallen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Judith Lewallen enrolled in Medicare?

Yes. Judith Lewallen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judith Lewallen was last updated on October 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.