MAXINE A WALLEN-LEWIS CRNP
NPI 1386374510
Nurse Practitioner - Family in Eldersburg, MD

Q: 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.

Q: What is Maxine Wallen-lewis's specialty?

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

Active since June 11, 2022PECOS EnrolledAccepts Medicare Assignment

1380 PROGRESS WAY STE 102, ELDERSBURG, MD 21784(410) 795-0257 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2026, Jun 11, 2022 (2 updates tracked since 2022).

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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 and is a graduate of Other (2025).

NPPES Registry Identity

NPI1386374510

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMAXINE A WALLEN-LEWISCredential: CRNP

Location Address1380 PROGRESS WAY STE 102Eldersburg, MD 21784-6498

Mailing Address200 Memorial Ave, Payor Credentialing DepartmentWestminster, MD 21157-5726 · (410) 871-6864 · Fax (410) 871-6516

Phone(410) 795-0257

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 11, 2022

Last NPPES UpdateJanuary 8, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1386374510 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 MD · R119466

1380 PROGRESS WAY STE 102, Eldersburg, MD 21784

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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

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.

PECOS PAC ID4284109182

PECOS Enrollment IDI20260408002457

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 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.

New Patient

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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 7

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

ADVANCED RADIOLOGY P A

Radiology (Diagnostic Radiology)