KATHLEEN LEWIS PMHNP-BC
NPI 1104416692
Nurse Practitioner - Psychiatric/Mental Health in York, PA
About Kathleen Lewis Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN LEWIS PMHNP-BC (NPI 1104416692) is an individual psychiatric/mental health provider in York, Pennsylvania, licensed in Maryland (R208736) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathleen Lewis Pmhnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21215
- Reassigned Medicare billing, Maryland enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kathleen Lewis's NPI number?
The NPI number for Kathleen Lewis is 1104416692. It was assigned to this individual provider in the NPPES registry on January 19, 2021.
Where is Kathleen Lewis located?
Kathleen Lewis practices at 25 Joan Dr, York, PA 17404. The listed phone number is (717) 487-7107.
What is Kathleen Lewis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kathleen Lewis enrolled in Medicare?
Yes. Kathleen 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.
Which organization bills Medicare for Kathleen Lewis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Lewis reassigns Medicare benefits to Aba Health Services Inc (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathleen Lewis was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kathleen Lewis, PMHNP-BC · NPI 1104416692
Psychiatric/Mental Health physician in York, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 19, 2021.
## Identity
- **NPI:** 1104416692 (Entity type: Individual)
- **Enumerated:** January 19, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R208736 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 25 JOAN DR, York, PA 17404-8289
- **Phone:** (717) 487-7107
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Aba Health Services Inc (NPI 1720019672, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104416692) · Data from the CMS NPPES public registry.