KATHLEEN LEWIS PMHNP-BC
NPI 1104416692
Nurse Practitioner - Psychiatric/Mental Health in York, PA

Active since January 19, 2021PECOS Enrolled

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2021, Jan 19, 2021 (2 updates tracked since 2021).

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

NPI1104416692
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATHLEEN LEWISCredential: PMHNP-BC
Location Address25 JOAN DRYork, PA 17404-8289
Mailing Address25 Joan DrYork, PA 17404-8289 · (717) 487-7107
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 19, 2021
Last NPPES UpdateAugust 11, 20212 updates tracked since enumeration
NPPES CertifiedAugust 11, 2021
NPI 1104416692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MD · R208736
25 JOAN DR, York, PA 17404

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathleen Lewis Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305341470
PECOS Enrollment IDI20250929000532
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 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.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 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 enrollment system.

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.