JEWELL RENEE LEWIS-MARTIN APRN
NPI 1104170786
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Q: What is Jewell Lewis-martin's NPI number?

The NPI number for Jewell Lewis-martin is 1104170786. It was assigned to this individual provider in the NPPES registry on November 2, 2012.

Q: What is Jewell Lewis-martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since November 02, 2012PECOS EnrolledAccepts Medicare Assignment

9200 SHELBYVILLE RD STE 530, LOUISVILLE, KY 40222(502) 327-9100(855) 632-8329 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Apr 11, 2025, Mar 26, 2025 and 2 more (5 updates tracked since 2017).

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About Jewell Renee Lewis-martin Aprn NPPES

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

JEWELL RENEE LEWIS-MARTIN APRN (NPI 1104170786) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Kentucky (3007766) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1104170786

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJEWELL RENEE LEWIS-MARTINCredential: APRN

Location Address9200 SHELBYVILLE RD STE 530Louisville, KY 40222-5144

Mailing Address9200 Shelbyville Rd Ste 530Louisville, KY 40222-5144 · (502) 327-9100 · Fax (855) 632-8329

Phone(502) 327-9100

Fax(855) 632-8329

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateNovember 2, 2012

Last NPPES UpdateJune 17, 20255 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1104170786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in KY · 3007766

Also ListedNurse PractitionerTaxonomy 363L00000X · License 3007766 (KY)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3007766 (KY)

9200 SHELBYVILLE RD STE 530, Louisville, KY 40222

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Jewell Renee Lewis-martin Aprn 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 ID7315199262

PECOS Enrollment IDI20121128000765, I20260515001380

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 40222 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Other Providers at the Same Location NPPES 8

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

MRS. MARY FRANCES HEITZMAN APRN-C

Nurse Practitioner (Family)