KELLY A LEWIS FNP
NPI 1942759543
Nurse Practitioner in Saint Clair Shores, MI
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
Specialties & Licenses 3
Secondary Practice Location 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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Lewis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48224
- Reassigned Medicare billing, Michigan enrollment
- 12 clinicians in this Medicare group
Detroit, MI 48228
- Reassigned Medicare billing, Michigan enrollment
- 24 clinicians in this Medicare group
Detroit, MI 48228
- Reassigned Medicare billing, Michigan enrollment
- 22 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.
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, MIPhysician 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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT CLAIR SHORES, MI 48080
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.
Which organizations bill Medicare for Kelly Lewis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Lewis reassigns Medicare benefits to 3 organizations: Im Consultant (Detroit, MI), A Ahmad MD Plc (Detroit, MI) and Primedical Healthcare Associates PLLC (Detroit, MI). 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 Kelly Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Lewis accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health 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 19 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.
# Kelly A Lewis, FNP · NPI 1942759543
Nurse Practitioner physician in Saint Clair Shores, Michigan. Individual provider, active in the CMS NPPES registry since September 25, 2016.
## Identity
- **NPI:** 1942759543 (Entity type: Individual)
- **Enumerated:** September 25, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 4704271476 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 19714 E 10 MILE RD, Saint Clair Shores, MI 48080-1064
- **Phone:** (586) 779-9400
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Im Consultant (NPI 1023644242, Detroit, MI); A Ahmad MD Plc (NPI 1306313515, Detroit, MI); Primedical Healthcare Associates PLLC (NPI 1396521662, Detroit, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** March 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1942759543) · Data from the CMS NPPES public registry.