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ANDREA MORGAN FORMYDUVAL LEWIS FNP
NPI 1154550077
Nurse Practitioner - Family in Wilmington, NC

Active since July 13, 2009PECOS Enrolled
4005 OLEANDER DR, WILMINGTON, NC 28403(910) 790-9949(910) 790-9455 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2023, Sep 7, 2022, Jul 30, 2021 (3 updates tracked since 2021).

About Andrea Morgan Formyduval Lewis Fnp NPPES

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

ANDREA MORGAN FORMYDUVAL LEWIS FNP (NPI 1154550077) is an individual family provider in Wilmington, North Carolina, licensed in North Carolina (5004417) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1154550077
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA MORGAN FORMYDUVAL LEWISCredential: FNP
Location Address4005 OLEANDER DRWilmington, NC 28403-6816
Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 343-0145 · Fax (910) 790-9455
Phone(910) 790-9949
Fax(910) 790-9455
Sole ProprietorNo
Enumeration DateJuly 13, 2009
Last NPPES UpdateAugust 14, 20233 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1154550077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5004417
4005 OLEANDER DR, Wilmington, NC 28403
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12700 N College RdWilmington, NC 28405-8816 · Phone (910) 790-9949
Location 2555 Halyburton PkwyWilmington, NC 28412-3094 · Phone (910) 790-9949
Location 3613 Shipyard BlvdWilmington, NC 28412-6492 · Phone (910) 202-3860
Location 41307 Market StWilmington, NC 28401-4331 · Phone (910) 790-9949 · Fax (910) 790-9455

Other Identifiers 1

Medicaid7005679NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Morgan Formyduval Lewis 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 28403 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

WILMINGTON HEALTH ACCESS FOR TEENS
Counselor (Mental Health)
4005 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 790-9949
MS. MARY EDEN AVERY LCSWA
Social Worker (Clinical)
4005 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 790-9949
MRS. AMY SUE VALIMONT LCSW
Social Worker (Clinical)
4005 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 790-9949
MRS. LAURA THERESA NOEL LCSW
Social Worker (Clinical)
4005 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 790-9949
DORIS KING MD
Pediatrics (Adolescent Medicine)
4005 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 790-9949
MS. ALLISON LINSEY PORTER LDN, RDN
Dietitian, Registered
4005 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 790-9949
MS. KELLI RENEE KELDERHOUSE FNP
Family Medicine (Adolescent Medicine)
4005 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 790-9949
MELANY TARR LCSW
Counselor (Mental Health)
4005 OLEANDER DR
WILMINGTON, NC 28403
New Hanover County (910) 790-9949

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 Andrea Formyduval Lewis's NPI number?

The NPI number for Andrea Formyduval Lewis is 1154550077. It was assigned to this individual provider in the NPPES registry on July 13, 2009.

Where is Andrea Formyduval Lewis located?

Andrea Formyduval Lewis practices at 4005 Oleander Dr, Wilmington, NC 28403. The listed phone number is (910) 790-9949.

What is Andrea Formyduval Lewis's specialty?

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

Is Andrea Formyduval Lewis enrolled in Medicare?

Yes. Andrea Formyduval Lewis is registered in the Medicare PECOS enrollment system.

What insurance does Andrea Formyduval Lewis accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Andrea Formyduval Lewis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Formyduval Lewis was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.