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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ENZO JORDAN LEWIS
NPI 1720858426
Physician Assistant in Hurricane, WV

Active since January 03, 2024PECOS Enrolled
1124 HICKORY MILLS RD, HURRICANE, WV 25526(304) 881-1054 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 31, 2026, Jan 3, 2024 (2 updates tracked since 2024).

About Enzo Jordan Lewis NPPES

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

ENZO JORDAN LEWIS (NPI 1720858426) is an individual physician assistant in Hurricane, West Virginia, licensed in Kentucky (TC049) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720858426
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameENZO JORDAN LEWIS
Location Address1124 HICKORY MILLS RDHurricane, WV 25526-9056
Mailing Address1124 Hickory Mills RdHurricane, WV 25526-9056 · (304) 881-1054
Phone(304) 881-1054
Sole ProprietorNo
Enumeration DateJanuary 3, 2024
Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1720858426 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 KY · TC049
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.
1124 HICKORY MILLS RD, Hurricane, WV 25526
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Enzo Jordan Lewis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 25526 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

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 Enzo Lewis's NPI number?

The NPI number for Enzo Lewis is 1720858426. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Where is Enzo Lewis located?

Enzo Lewis practices at 1124 Hickory Mills Rd, Hurricane, WV 25526. The listed phone number is (304) 881-1054.

What is Enzo Lewis's specialty?

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

Is Enzo Lewis enrolled in Medicare?

Yes. Enzo Lewis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Enzo Lewis was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.