1. Home
  2. Directory
  3. Kentucky
  4. London
  5. Nurse Practitioner
  6. NPI Profile

JERRY WAYNE LEWIS APRN PMHNP-BC
NPI 1720718620
Nurse Practitioner - Psychiatric/Mental Health in London, KY

Active since June 14, 2022PECOS EnrolledAccepts Medicare Assignment
103 SYCAMORE ST, LONDON, KY 40741(606) 312-4761 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerry Wayne Lewis Aprn Pmhnp-bc NPPES

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

JERRY WAYNE LEWIS APRN PMHNP-BC (NPI 1720718620) is an individual psychiatric/mental health provider in London, Kentucky, licensed in Kentucky (3017921) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720718620
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJERRY WAYNE LEWISCredential: APRN PMHNP-BC
Location Address103 SYCAMORE STLondon, KY 40741-1740
Mailing Address103 Sycamore StLondon, KY 40741-1740 · (606) 312-0779
Phone(606) 312-4761
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1720718620 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 KY · 3017921
103 SYCAMORE ST, London, KY 40741
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Jerry Wayne Lewis Aprn Pmhnp-bc 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 ID2365818804
PECOS Enrollment IDI20221025000381
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 40741 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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 Jerry Lewis's NPI number?

The NPI number for Jerry Lewis is 1720718620. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Jerry Lewis located?

Jerry Lewis practices at 103 Sycamore St, London, KY 40741. The listed phone number is (606) 312-4761.

What is Jerry Lewis's specialty?

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

Is Jerry Lewis enrolled in Medicare?

Yes. Jerry 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 Jerry Lewis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Providence Health Plan list Jerry 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 Jerry Lewis was last updated on June 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.