DORENDA LEWIS NP
NPI 1407197841
Nurse Practitioner - Adult Health in Chicago, IL

Q: What is Dorenda Lewis's NPI number?

The NPI number for Dorenda Lewis is 1407197841. It was assigned to this individual provider in the NPPES registry on March 11, 2013.

Q: What is Dorenda Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Dorenda Lewis was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 11, 2013PECOS EnrolledAccepts Medicare Assignment

4177 S ARCHER AVE, CHICAGO, IL 60632(773) 254-2222 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dorenda Lewis Np NPPES

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

DORENDA LEWIS NP (NPI 1407197841) is an individual adult health provider in Chicago, Illinois, licensed in Illinois (209009219) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Saint Anthony Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1407197841

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameDORENDA LEWISCredential: NP

Location Address4177 S ARCHER AVEChicago, IL 60632-1849

Mailing Address3170 W 83rd PlChicago, IL 60652-3423 · (773) 405-0294

Phone(773) 254-2222

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 11, 2013

Last NPPES UpdateJuly 16, 2019

✔ NPI 1407197841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in IL · 209009219

4177 S ARCHER AVE, Chicago, IL 60632

Open in Google Maps ↗

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

Dorenda Lewis Np 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 ID2264671148

PECOS Enrollment IDI20130626000109

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

60 services28 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

32 services24 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Anthony Hospital

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140095

Location2875 West 19th StreetChicago, IL 60623 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60632 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 10

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

ASHLEY MULTANI

Family Medicine