Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Agnes Chan Lewis, ANP

Individual provider Nurse Practitioner · NPI 1821360454

Agnes Chan Lewis, ANP is a Nurse Practitioner in Bridgeton, Missouri. Qualified in 1993, 33 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
33
Licensed in
MO
In the registry since
2012
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Practice location Address checks out

12266 De Paul Dr Ste 205
Bridgeton, MO 63044-2514
Phone: (314) 218-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Medical Plz, Lake St Louis, MO 63367-1366 — (636) 625-5200

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2011034516 (MO)

Record details

NPI number1821360454
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedJanuary 27, 2012
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bridgeton