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

Andrew Lewis

Individual provider Physician Assistant · NPI 1427805282

Andrew Lewis is a Physician Assistant in Springfield, Oregon. Qualified in 2023, 3 years ago. Practices with Icco LLC, a 133-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2024
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Practice location Address checks out

1460 G St
Springfield, OR 97477-4112
Phone: (541) 726-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 Coburg Rd, Eugene, OR 97401-4995 — (541) 345-8763

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA221013 (OR)

Record details

NPI number1427805282
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2024
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing address2063 Onyx St, Eugene, OR 97403-1533

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Springfield