JERRY WAYNE LEWIS APRN PMHNP-BC
NPI 1720718620
Nurse Practitioner - Psychiatric/Mental Health in London, KY
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jerry Lewis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
London, KY 40744
- Reassigned Medicare billing, Kentucky enrollment
- 14 clinicians in this Medicare group
Crestwood, KY 40014
- Reassigned Medicare billing, Kentucky enrollment
- 84 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organizations bill Medicare for Jerry Lewis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Lewis reassigns Medicare benefits to 2 organizations: Kentucky Rural Health Information Technology Network, Inc. (London, KY) and Ppl Therapeutic Services PLLC (Crestwood, KY). Each 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 Jerry Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jerry Lewis accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield 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 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.
# Jerry Wayne Lewis, APRN PMHNP-BC · NPI 1720718620
Psychiatric/Mental Health physician in London, Kentucky. Individual provider, active in the CMS NPPES registry since June 14, 2022.
## Identity
- **NPI:** 1720718620 (Entity type: Individual)
- **Enumerated:** June 14, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 3017921 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 103 SYCAMORE ST, London, KY 40741-1740
- **Phone:** (606) 312-4761
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kentucky Rural Health Information Technology Network, Inc. (NPI 1972063204, London, KY); Ppl Therapeutic Services PLLC (NPI 1104323252, Crestwood, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720718620) · Data from the CMS NPPES public registry.