IndividualActive
Terry Lewis, NP-C
NPI 1174976773 · Family Nurse Practitioner · Portage, MI
Provider details
- NPI number
- 1174976773
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4704238831 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
2725 Airview Blvd
Portage, MI 49002-1803
Phone: (269) 349-8386
Fax: (269) 349-8397
Street-level locationGet directions
Mailing address
8137 E Cree Lake Dr S
Kendallville, IN 46755-9721
Registry dates
- Enumerated
- 2016-07-19
- Last updated
- 2016-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.