KIMBERLY A LEWIS P.A. -C
NPI 1669592457
Physician Assistant in Jacksonville, NC

Active since March 29, 2007PECOS EnrolledAccepts Medicare Assignment
118 MEMORIAL DR, JACKSONVILLE, NC 28546(910) 353-0581(910) 577-1150 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2023, Mar 8, 2022, Dec 3, 2020 and 4 more (7 updates tracked since 2017).

About Kimberly A Lewis P.a. -c NPPES

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

KIMBERLY A LEWIS P.A. -C (NPI 1669592457) is an individual physician assistant in Jacksonville, North Carolina, licensed in North Carolina (103307) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of George Washington University School Of Medicine (2000).

NPPES Registry Identity

NPI1669592457
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY A LEWISCredential: P.A. -C
Location Address118 MEMORIAL DRJacksonville, NC 28546-6328
Mailing AddressPo Box 986513, Department 100Boston, MA 02298-6513 · (910) 219-8326 · Fax (910) 939-4269
Fax(910) 577-1150
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2000
Enumeration DateMarch 29, 2007
Last NPPES UpdateNovember 3, 20237 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
NPI 1669592457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 103307
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
118 MEMORIAL DR, Jacksonville, NC 28546

Secondary Practice Locations 2

Location 1120 Memorial DrJacksonville, NC 28546-6328 · Phone (910) 353-0581 · Fax (910) 353-1351
Location 2152 Memorial CtJacksonville, NC 28546-6322 · Phone (910) 346-3976 · Fax (910) 353-0600

Other Identifiers 1

Medicaid1669592457NC

Accepted 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

Kimberly A Lewis P.a. -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 ID1658644455
PECOS Enrollment IDI20190724002884
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 28546 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 11

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

Pediatrics
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Family Medicine
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Pediatrics
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Nurse Practitioner (Pediatrics)
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Pediatrics
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Pediatrics
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Pediatrics
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Nurse Practitioner (Family)
118 MEMORIAL DR
JACKSONVILLE, NC 28546

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 Kimberly Lewis's NPI number?

The NPI number for Kimberly Lewis is 1669592457. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Kimberly Lewis located?

Kimberly Lewis practices at 118 Memorial Dr, Jacksonville, NC 28546. The listed phone number is (910) 353-0581.

What is Kimberly Lewis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Lewis enrolled in Medicare?

Yes. Kimberly 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.

What insurance does Kimberly Lewis accept?

Health plans from Blue Cross and Blue Shield of NC list Kimberly 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.

When was this NPI record last updated?

The NPPES record for Kimberly Lewis was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.