RICHARD LEWALLEN PMHNP-BC
NPI 1699647347
Nurse Practitioner - Psychiatric/Mental Health in Chattanooga, TN

Active since September 22, 2025
414 CRISMAN ST, CHATTANOOGA, TN 37415(423) 933-7186 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Richard Lewallen Pmhnp-bc NPPES

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

RICHARD LEWALLEN PMHNP-BC (NPI 1699647347) is a healthcare organization registered as a psychiatric/mental health in Chattanooga, Tennessee and active in the NPI registry since September 2025. The organization lists Richard Lewallen, Owner, as its authorized official.

NPPES Registry Identity

NPI1699647347
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameRICHARD LEWALLEN PMHNP-BC
Location Address414 CRISMAN STChattanooga, TN 37415-4528
Mailing Address414 Crisman StChattanooga, TN 37415-4528 · (423) 933-7186
Organization SubpartNo
Authorized OfficialRichard LewallenOwner · (423) 933-7186
Enumeration DateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1699647347 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
414 CRISMAN ST, Chattanooga, TN 37415

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Lewallen Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Richard Lewallen Pmhnp-Bc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1235951070
15811 AMBAUM BLVD SW STE 110
Burien, WA 98166
(206) 647-0070
✔ PECOS✔ Accepts Medicare2,082 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Richard Lewallen Pmhnp-Bc's NPI number?

The NPI number for Richard Lewallen Pmhnp-Bc is 1699647347. It was assigned to this organization in the NPPES registry on September 22, 2025.

Where is Richard Lewallen Pmhnp-Bc located?

Richard Lewallen Pmhnp-Bc is located at 414 Crisman St, Chattanooga, TN 37415. The listed phone number is (423) 933-7186.

What is Richard Lewallen Pmhnp-Bc's specialty?

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

Is Richard Lewallen Pmhnp-Bc enrolled in Medicare?

Yes. Richard Lewallen Pmhnp-Bc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Richard Lewallen Pmhnp-Bc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Richard Lewallen Pmhnp-Bc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Richard Lewallen Pmhnp-Bc was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.