MS. JESSICA E LEWIS CRNA
NPI 1093717134
Nurse Anesthetist, Certified Registered in Saint Louis, MO

Active since August 10, 2005Accepts Medicare Assignment
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY, SAINT LOUIS, MO 63141(800) 862-9980(314) 362-1185 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2021, Nov 12, 2021, Sep 17, 2019 (3 updates tracked since 2019).

About Ms. Jessica E Lewis Crna NPPES

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

MS. JESSICA E LEWIS CRNA (NPI 1093717134) is an individual nurse anesthetist, certified registered in Saint Louis, Missouri, licensed in Missouri (149537) and active in the NPI registry since August 2005. She is affiliated with Ssm Health Depaul Hospital St Louis and is a graduate of Other (2003).

NPPES Registry Identity

NPI1093717134
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. JESSICA E LEWISCredential: CRNA
Location Address12634 OLIVE BLVD, DEPT ANESTHESIOLOGYSaint Louis, MO 63141-6337
Mailing Address660 S Euclid Ave, Cb 8054Saint Louis, MO 63110-1010 · (800) 862-9980 · Fax (314) 362-1185
Fax(314) 362-1185
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 10, 2005
Last NPPES UpdateNovember 15, 20213 updates tracked since enumeration
NPI 1093717134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MO · 149537
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
12634 OLIVE BLVD, Saint Louis, MO 63141

Other Identifiers 1

Medicaid918991902MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Jessica E Lewis Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486824869
PECOS Enrollment IDI20110822000215

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Emergency Medicine
12634 OLIVE BLVD
SAINT LOUIS, MO 63141
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD
SAINT LOUIS, MO 63141
Anesthesiology
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Registered Nurse (Registered Nurse First Assistant)
12634 OLIVE BLVD
CREVE COEUR, MO 63141
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
12634 OLIVE BLVD
SAINT LOUIS, MO 63141

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 Jessica Lewis's NPI number?

The NPI number for Jessica Lewis is 1093717134. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Jessica Lewis located?

Jessica Lewis practices at 12634 Olive Blvd Dept Anesthesiology, Saint Louis, MO 63141. The listed phone number is (800) 862-9980.

What is Jessica Lewis's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jessica Lewis enrolled in Medicare?

Yes. Jessica Lewis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jessica Lewis affiliated with any hospitals?

According to CMS data, Jessica Lewis is affiliated with Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Jessica Lewis was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.