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Carrie L Lewis

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as CARRIE LEWIS.

Based on the most recent information from CMS, provider Carrie L Lewis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1174776157
Provider Type
Individual
Full Name
Lewis, Carrie L
Credential
RN MSN CPNP

Gender
Female
Sole Proprietor
No
Enumeration Date
11/4/2008
Last Updated
9/7/2018

Contact Information

Practice Location

1540 Sunday Dr, Raleigh, NC 27607

(919) 782-3456

(919) 783-1441

Mailing Location

1540 Sunday Dr, Raleigh, NC 27607-6010

(919) 782-3456

(919) 783-1441

Provider Taxonomies

Code	Description	License
Code 363LP0200X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 300312 North Carolina
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 300312 North Carolina

Carrie L Lewis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Mullins, Jennifer

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Clasen, Kathleen F

Dolan, Melissa Lynn

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Record, Elisabeth

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