MAXINE A WALLEN-LEWIS CRNP
NPI 1386374510
Nurse Practitioner - Family in Eldersburg, MD
About Maxine A Wallen-lewis Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAXINE A WALLEN-LEWIS CRNP (NPI 1386374510) is an individual family provider in Eldersburg, Maryland, licensed in Maryland (R119466) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Maxine A Wallen-lewis Crnp 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 Reassignment
Medicare enrollment records show Maxine Wallen-lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Westminster, MD 21157
- Reassigned Medicare billing, Maryland enrollment
- 104 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 21784 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELDERSBURG, MD 21784
ELDERSBURG, MD 21784
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 Maxine Wallen-lewis's NPI number?
The NPI number for Maxine Wallen-lewis is 1386374510. It was assigned to this individual provider in the NPPES registry on June 11, 2022.
Where is Maxine Wallen-lewis located?
Maxine Wallen-lewis practices at 1380 Progress Way Ste 102, Eldersburg, MD 21784. The listed phone number is (410) 795-0257.
What is Maxine Wallen-lewis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Maxine Wallen-lewis enrolled in Medicare?
Yes. Maxine Wallen-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 organization bills Medicare for Maxine Wallen-lewis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maxine Wallen-lewis reassigns Medicare benefits to Carroll Health Group, LLC (Westminster, 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 Maxine Wallen-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 Maxine Wallen-lewis was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Maxine A Wallen-Lewis, CRNP · NPI 1386374510
Family physician in Eldersburg, Maryland. Individual provider, active in the CMS NPPES registry since June 11, 2022.
## Identity
- **NPI:** 1386374510 (Entity type: Individual)
- **Enumerated:** June 11, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R119466 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1380 PROGRESS WAY STE 102, Eldersburg, MD 21784-6498
- **Phone:** (410) 795-0257
## 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:** Carroll Health Group, LLC (NPI 1437473550, Westminster, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1386374510) · Data from the CMS NPPES public registry.