KELLY A LEWIS FNP
NPI 1942759543
Nurse Practitioner in Saint Clair Shores, MI

Active since September 25, 2016PECOS EnrolledAccepts Medicare Assignment
19714 E 10 MILE RD, SAINT CLAIR SHORES, MI 48080(586) 779-9400 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2025, Feb 11, 2025, Apr 5, 2024 and 6 more (9 updates tracked since 2016).

About Kelly A Lewis Fnp NPPES

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

KELLY A LEWIS FNP (NPI 1942759543) is an individual nurse practitioner in Saint Clair Shores, Michigan, licensed in Michigan (4704271476) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and maintains a secondary practice location in Macomb.

NPPES Registry Identity

NPI1942759543
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY A LEWISCredential: FNP
Location Address19714 E 10 MILE RDSaint Clair Shores, MI 48080-1064
Mailing Address19714 E 10 Mile RdSaint Clair Shores, MI 48080-1064 · (248) 909-1067
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2016
Enumeration DateSeptember 25, 2016
Last NPPES UpdateMarch 3, 20259 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
NPI 1942759543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704271476
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedMidwifeTaxonomy 176B00000X · License 4704271476 (MI)
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 4704271476 (MI)
19714 E 10 MILE RD, Saint Clair Shores, MI 48080

Secondary Practice Location 1

Location 146591 Romeo Plank Rd Ste 225Macomb, MI 48044-5743 · Phone (586) 226-6155

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

Kelly A Lewis Fnp 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 ID7113262858
PECOS Enrollment IDI20181227000928, I20250218000448
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Other Providers at the Same Location NPPES 9

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

Obstetrics & Gynecology
19714 E 10 MILE RD
SAINT CLAIR SHORES, MI 48080
Obstetrics & Gynecology
19714 E 10 MILE RD
SAINT CLAIR SHORES, MI 48080
Advanced Practice Midwife
19714 E 10 MILE RD
SAINT CLAIR SHORES, MI 48080
Obstetrics & Gynecology
19714 E 10 MILE RD
SAINT CLAIR SHORES, MI 48080
Obstetrics & Gynecology
19714 E 10 MILE RD
ST CLAIR SHORES, MI 48080
Advanced Practice Midwife
19714 E 10 MILE RD
SAINT CLAIR SHORES, MI 48080
Obstetrics & Gynecology
19714 E 10 MILE RD
SAINT CLAIR SHORES, MI 48080
Obstetrics & Gynecology
19714 E 10 MILE RD
SAINT CLAIR SHORES, MI 48080

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 Kelly Lewis's NPI number?

The NPI number for Kelly Lewis is 1942759543. It was assigned to this individual provider in the NPPES registry on September 25, 2016.

Where is Kelly Lewis located?

Kelly Lewis practices at 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080. The listed phone number is (586) 779-9400.

What is Kelly Lewis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Lewis enrolled in Medicare?

Yes. Kelly 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 Kelly Lewis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kelly 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.

Is Kelly Lewis affiliated with any hospitals?

According to CMS data, Kelly Lewis is affiliated with Beaumont Hospital - Grosse Pointe.

When was this NPI record last updated?

The NPPES record for Kelly Lewis was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.