MS. KIMBERLY CLYDE LEWIS NP-C
NPI 1437539830
Nurse Practitioner - Family in Jackson, MS

Q: What is Kimberly Lewis's NPI number?

The NPI number for Kimberly Lewis is 1437539830. It was assigned to this individual provider in the NPPES registry on June 2, 2015. The provider is also known as Kimberly J. Clyde Np-C.

Q: What is Kimberly Lewis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Lewis was last updated on January 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 02, 2015PECOS EnrolledAccepts Medicare Assignment

2500 N STATE ST, JACKSON, MS 39216(601) 815-3356 Get Directions Write a Review

NPPES record last updated: January 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Kimberly Clyde Lewis Np-c NPPES

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

MS. KIMBERLY CLYDE LEWIS NP-C (NPI 1437539830) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R867005) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1437539830

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KIMBERLY CLYDE LEWISCredential: NP-C

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-3356

Phone(601) 815-3356

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 2, 2015

Last NPPES UpdateJanuary 8, 2018

✔ NPI 1437539830 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 MS · R867005

2500 N STATE ST, Jackson, MS 39216

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Other Names 1

Former Name (1)Kimberly J. Clyde Np-c

Other Identifiers 1

Medicaid04728236MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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

Ms. Kimberly Clyde Lewis Np-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.

PECOS PAC ID3274849906

PECOS Enrollment IDI20150826001136

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.

Hospital Affiliations CMS Care Compare

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

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number250001

Location2500 N State StJackson, MS 39216 · Hinds County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 20

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

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)