LAJARVIS ANTWON LEWIS FNP
NPI 1487271201
Nurse Practitioner - Family in Ruleville, MS
About Lajarvis Antwon Lewis Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAJARVIS ANTWON LEWIS FNP (NPI 1487271201) is an individual family provider in Ruleville, Mississippi, licensed in Mississippi (903985) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with North Sunflower Medical Center Cah, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Lajarvis Antwon Lewis Fnp 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
3Medicare enrollment records show Lajarvis Lewis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ruleville, MS 38771
- Reassigned Medicare billing, Mississippi enrollment
- Also billed through NPI 1013128644 (Mississippi)
- 54 clinicians in this Medicare group
Ripley, MS 38663
- Reassigned Medicare billing, Mississippi enrollment
- 463 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Mississippi enrollment
- 195 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Sunflower Medical Center Cah
Critical Access Hospitals · Ruleville, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38771 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RULEVILLE, MS 38771
RULEVILLE, MS 38771
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 Lajarvis Lewis's NPI number?
The NPI number for Lajarvis Lewis is 1487271201. It was assigned to this individual provider in the NPPES registry on June 26, 2020.
Where is Lajarvis Lewis located?
Lajarvis Lewis practices at 840 N Oak Ave, Ruleville, MS 38771. The listed phone number is (662) 756-4024.
What is Lajarvis Lewis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lajarvis Lewis enrolled in Medicare?
Yes. Lajarvis 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 Lajarvis Lewis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lajarvis Lewis reassigns Medicare benefits to 3 organizations: North Sunflower Medical Center (Ruleville, MS), Fast Pace Mississippi, PLLC (Ripley, MS) and Community Care Health Network LLC (Nashville, TN). 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 Lajarvis Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lajarvis Lewis accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Lajarvis Lewis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Lajarvis Lewis affiliated with any hospitals?
According to CMS data, Lajarvis Lewis is affiliated with North Sunflower Medical Center Cah.
When was this NPI record last updated?
The NPPES record for Lajarvis Lewis was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Lajarvis Antwon Lewis, FNP · NPI 1487271201
Family physician in Ruleville, Mississippi. Individual provider, active in the CMS NPPES registry since June 26, 2020.
## Identity
- **NPI:** 1487271201 (Entity type: Individual)
- **Enumerated:** June 26, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 903985 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 840 N OAK AVE, Ruleville, MS 38771-3227
- **Phone:** (662) 756-4024
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): North Sunflower Medical Center (NPI 1508913609, Ruleville, MS); Fast Pace Mississippi, PLLC (NPI 1447769559, Ripley, MS); Community Care Health Network LLC (NPI 1619368842, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 26, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1487271201) · Data from the CMS NPPES public registry.