ALEXANDRA LEWIS CPNP
NPI 1629659164
Nurse Practitioner - Pediatrics in Stony Brook, NY

Q: What is Alexandra Lewis's NPI number?

The NPI number for Alexandra Lewis is 1629659164. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Q: What is Alexandra Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Lewis was last updated on April 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 16, 2021PECOS Enrolled

101 NICOLLS RD, STONY BROOK, NY 11794(631) 707-2707 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Alexandra Lewis Cpnp NPPES

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

ALEXANDRA LEWIS CPNP (NPI 1629659164) is an individual pediatrics provider in Stony Brook, New York, licensed in New York (F383169-01) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629659164

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameALEXANDRA LEWISCredential: CPNP

Location Address101 NICOLLS RDStony Brook, NY 11794-2002

Mailing Address15 Cullen DrEast Northport, NY 11731-2002 · (631) 707-2707

Phone(631) 707-2707

Sole ProprietorYes

Enumeration DateApril 16, 2021

Last NPPES UpdateApril 21, 2023

NPPES CertifiedApril 21, 2023

✔ NPI 1629659164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · F383169-01

101 NICOLLS RD, Stony Brook, NY 11794

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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)

Alexandra Lewis Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11794 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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