MRS. BLAKELEY MADISON LEWIS FNP-BC
NPI 1952821506
Nurse Practitioner - Family in Glade Spring, VA
About Mrs. Blakeley Madison Lewis Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BLAKELEY MADISON LEWIS FNP-BC (NPI 1952821506) is an individual family provider in Glade Spring, Virginia, licensed in Virginia (0024174992) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Blakeley Madison Lewis Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Blakeley Lewis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bristol, TN 37620
- Reassigned Medicare billing, Tennessee enrollment
- 4 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 24340 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLADE SPRING, VA 24340
GLADE SPRING, VA 24340
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 Blakeley Lewis's NPI number?
The NPI number for Blakeley Lewis is 1952821506. It was assigned to this individual provider in the NPPES registry on June 25, 2017.
Where is Blakeley Lewis located?
Blakeley Lewis practices at 636 S Monte Vista Dr, Glade Spring, VA 24340. The listed phone number is (276) 429-5163.
What is Blakeley Lewis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Blakeley Lewis enrolled in Medicare?
Yes. Blakeley Lewis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Blakeley Lewis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blakeley Lewis reassigns Medicare benefits to Marden Medical, PLLC (Bristol, TN). The 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 Blakeley Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blakeley Lewis accept?
Health plans from BlueCross BlueShield of Tennessee list Blakeley 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 Blakeley Lewis was last updated on June 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mrs. Blakeley Madison Lewis, FNP-BC · NPI 1952821506
Family physician in Glade Spring, Virginia. Individual provider, active in the CMS NPPES registry since June 25, 2017.
## Identity
- **NPI:** 1952821506 (Entity type: Individual)
- **Enumerated:** June 25, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024174992 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 636 S MONTE VISTA DR, Glade Spring, VA 24340-2712
- **Phone:** (276) 429-5163
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Marden Medical, PLLC (NPI 1386978062, Bristol, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1952821506) · Data from the CMS NPPES public registry.