INGRID LEWIS FNP
NPI 1639660046
Nurse Practitioner in Southgate, MI

Q: What is Ingrid Lewis's NPI number?

The NPI number for Ingrid Lewis is 1639660046. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Q: What is Ingrid Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ingrid Lewis was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 21, 2018PECOS EnrolledAccepts Medicare Assignment

12866 FORT ST, SOUTHGATE, MI 48195(734) 720-7920(734) 720-7965 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2021, Feb 4, 2019, May 21, 2018 (3 updates tracked since 2018).

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About Ingrid Lewis Fnp NPPES

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

INGRID LEWIS FNP (NPI 1639660046) is an individual nurse practitioner in Southgate, Michigan, licensed in Michigan (4704231587) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Promedica Coldwater Regional Hospital, and maintains a secondary practice location in Harper Woods.

NPPES Registry Identity

NPI1639660046

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameINGRID LEWISCredential: FNP

Location Address12866 FORT STSouthgate, MI 48195-1060

Mailing Address20831 Ridgemont RdHarper Woods, MI 48225-1137 · (313) 930-0258

Phone(734) 720-7920

Fax(734) 720-7965

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMay 21, 2018

Last NPPES UpdateAugust 23, 20213 updates tracked since enumeration

NPPES CertifiedAugust 23, 2021

✔ NPI 1639660046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704231587

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704231587 (MI)

12866 FORT ST, Southgate, MI 48195

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Secondary Practice Location 1

Location 120831 Ridgemont RdHarper Woods, MI 48225 · Phone (313) 930-0258

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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

Ingrid 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.

PECOS PAC ID2769732932

PECOS Enrollment IDI20180910001156

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.

Promedica Coldwater Regional Hospital

Acute Care Hospitals · Coldwater, MI

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number230022

Location274 E Chicago StColdwater, MI 49036 · Branch County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48195 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 8

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

MOHAMAD H DAKDOUK DR.

Pharmacist