IVY LEWIS FNP
NPI 1164865663
Nurse Practitioner - Family in Phoenix, AZ
About Ivy Lewis Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVY LEWIS FNP (NPI 1164865663) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP4956) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.
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 (PECOS)
Ivy Lewis Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ivy Lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockville, MD 20854
- Reassigned Medicare billing, Arizona enrollment
- 163 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 85012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHOENIX, AZ 85012
PHOENIX, AZ 85012
PHOENIX, AZ 85012
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 Ivy Lewis's NPI number?
The NPI number for Ivy Lewis is 1164865663. It was assigned to this individual provider in the NPPES registry on April 15, 2013.
Where is Ivy Lewis located?
Ivy Lewis practices at 3003 N Central Ave Suite 800, Phoenix, AZ 85012. The listed phone number is (855) 821-5128.
What is Ivy Lewis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ivy Lewis enrolled in Medicare?
Yes. Ivy Lewis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ivy Lewis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivy Lewis reassigns Medicare benefits to Minuteclinic LLC (Rockville, 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 Ivy 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 Ivy Lewis was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ivy Lewis, FNP · NPI 1164865663
Family physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 15, 2013.
## Identity
- **NPI:** 1164865663 (Entity type: Individual)
- **Enumerated:** April 15, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP4956 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3003 N CENTRAL AVE, SUITE 800, Phoenix, AZ 85012-2902
- **Phone:** (855) 821-5128
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Minuteclinic LLC (NPI 1134191836, Rockville, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1164865663) · Data from the CMS NPPES public registry.