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SHANDA LEWIS
NPI 1285385740
Nurse Practitioner in Gardena, CA

Active since January 15, 2022PECOS EnrolledAccepts Medicare Assignment
2020 W 154TH ST, GARDENA, CA 90249(310) 433-7215 Get Directions Write a Review

NPPES record last updated: January 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shanda Lewis NPPES

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

SHANDA LEWIS (NPI 1285385740) is an individual nurse practitioner in Gardena, California, licensed in California (95019042) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285385740
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANDA LEWIS
Location Address2020 W 154TH STGardena, CA 90249-4223
Mailing Address2020 W 154th StGardena, CA 90249-4223 · (310) 433-7215
Phone(310) 433-7215
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 15, 2022
NPPES CertifiedJanuary 15, 2022
✔ NPI 1285385740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95019042
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2020 W 154TH ST, Gardena, CA 90249
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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

Shanda Lewis 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 ID4981087228
PECOS Enrollment IDI20220818001577
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 90249 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

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

SHAMAREE TAYLOR LEWIS M.S., CCC-SLP
Speech-Language Pathologist
2020 W 154TH ST
GARDENA, CA 90249
Los Angeles County (310) 617-9274

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 Shanda Lewis's NPI number?

The NPI number for Shanda Lewis is 1285385740. It was assigned to this individual provider in the NPPES registry on January 15, 2022.

Where is Shanda Lewis located?

Shanda Lewis practices at 2020 W 154th St, Gardena, CA 90249. The listed phone number is (310) 433-7215.

What is Shanda Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shanda Lewis enrolled in Medicare?

Yes. Shanda 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.

When was this NPI record last updated?

The NPPES record for Shanda Lewis was last updated on January 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.