NICOLE LEWIS MSN, APRN, FNP-C
NPI 1366110124
Nurse Practitioner - Family in Bruceton Mills, WV
About Nicole Lewis Msn, Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE LEWIS MSN, APRN, FNP-C (NPI 1366110124) is an individual family provider in Bruceton Mills, West Virginia, licensed in West Virginia (112169) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
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
Nicole Lewis Msn, Aprn, Fnp-c 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 Reassignments
5Medicare enrollment records show Nicole Lewis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10022
- Reassigned Medicare billing, West Virginia enrollment
- Medicare enrollment name: Daniel Funsch Jr MD PC
- 40 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Kentucky enrollment
- 13 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Vermont and West Virginia enrollments
- 27 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, Kentucky, Vermont and West Virginia enrollments
- 25 clinicians in this Medicare group
Miami, FL 33162
- Reassigned Medicare billing, West Virginia enrollment
- 53 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 26525 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 Nicole Lewis's NPI number?
The NPI number for Nicole Lewis is 1366110124. It was assigned to this individual provider in the NPPES registry on September 5, 2021.
Where is Nicole Lewis located?
Nicole Lewis practices at 138 Filly Ln, Bruceton Mills, WV 26525. The listed phone number is (304) 654-6303.
What is Nicole Lewis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Lewis enrolled in Medicare?
Yes. Nicole 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 organizations bill Medicare for Nicole Lewis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Lewis reassigns Medicare benefits to 5 organizations: Daniel Funsch Jr, M.D., P.C. (New York, NY), Dr Medical Services PC (New York, NY), Dr Rebman Bh LLC (New York, NY), Ivy Medical Group PLLC (New York, NY) and Dr Rebman Medical PA (Miami, FL). Each 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 Nicole 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 Nicole Lewis was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Nicole Lewis, MSN, APRN, FNP-C · NPI 1366110124
Family physician in Bruceton Mills, West Virginia. Individual provider, active in the CMS NPPES registry since September 5, 2021.
## Identity
- **NPI:** 1366110124 (Entity type: Individual)
- **Enumerated:** September 5, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 112169 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 138 FILLY LN, Bruceton Mills, WV 26525-7310
- **Phone:** (304) 654-6303
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Daniel Funsch Jr, M.D., P.C. (NPI 1316784580, New York, NY); Dr Medical Services PC (NPI 1053012401, New York, NY); Dr Rebman Bh LLC (NPI 1114894540, New York, NY); Ivy Medical Group PLLC (NPI 1700558798, New York, NY); Dr Rebman Medical PA (NPI 1669276689, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366110124) · Data from the CMS NPPES public registry.