CARESE LEWIS NURSE PRACTITIONER
NPI 1619103793
Nurse Practitioner - Psychiatric/Mental Health in San Tan Vly, AZ

Q: What is Carese Lewis's NPI number?

The NPI number for Carese Lewis is 1619103793. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Q: What is Carese Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Carese Lewis was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 03, 2009PECOS Enrolled

3201 W SAN CRISTOBAL RD, SAN TAN VLY, AZ 85144(414) 419-7652 Get Directions Write a Review

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

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About Carese Lewis Nurse Practitioner NPPES

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

CARESE LEWIS NURSE PRACTITIONER (NPI 1619103793) is an individual psychiatric/mental health provider in San Tan Vly, Arizona, licensed in Arizona (292468) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1619103793

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCARESE LEWISCredential: NURSE PRACTITIONER

Location Address3201 W SAN CRISTOBAL RDSan Tan Vly, AZ 85144-1103

Mailing Address4710 N 40th StMilwaukee, WI 53209-5812 · (414) 419-7652

Phone(414) 419-7652

Sole ProprietorYes

Medical School CMSOtherGraduated 2026

Enumeration DateJune 3, 2009

Last NPPES UpdateJune 16, 2026

NPPES CertifiedJune 16, 2026

✔ NPI 1619103793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 292468

3201 W SAN CRISTOBAL RD, San Tan Vly, AZ 85144

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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 (PECOS)

Carese Lewis Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749719037

PECOS Enrollment IDI20260706000490

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.

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 Carese Lewis's NPI number?

The NPI number for Carese Lewis is 1619103793. It was assigned to this individual provider in the NPPES registry on June 3, 2009.

Where is Carese Lewis located?

Carese Lewis practices at 3201 W San Cristobal Rd, San Tan Vly, AZ 85144. The listed phone number is (414) 419-7652.

What is Carese Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Carese Lewis enrolled in Medicare?

Yes. Carese Lewis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carese Lewis was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.