Kelly Lewis, NURSE PRACTITIONER
NPI 1104389451 · Primary Care Nurse Practitioner · Kingman, AZ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Lewis, NURSE PRACTITIONER is a Primary Care Nurse Practitioner provider in Kingman, AZ (NPI 1104389451).
Provider details
- NPI number
- 1104389451
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- No
- License
- 307837 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-04-12
- Last updated
- 2026-05-01
- Certified
- 2026-05-01
Frequently asked questions
- What is Kelly Lewis's NPI number?
- Kelly Lewis's National Provider Identifier (NPI) is 1104389451, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Lewis's specialty?
- Kelly Lewis is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Lewis located?
- Kelly Lewis's practice location on file with NPPES is 1510 N Stockton Hill Rd, Kingman, AZ 86401-5173.
- What is Kelly Lewis's phone number?
- The practice phone number listed in the NPPES registry for Kelly Lewis is (928) 753-1177.
- Does Kelly Lewis accept Medicare?
- Kelly Lewis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Lewis's NPI active?
- Yes — Kelly Lewis's NPI (1104389451) is active in the NPPES registry as of the last update on 2026-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.