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

Ingrid Lewis, FNP

Individual provider Registered Nurse · NPI 1639660046

Ingrid Lewis, FNP is a Nurse Practitioner in Southgate, Michigan. Qualified in 2018, 8 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

12866 Fort St
Southgate, MI 48195-1060
Phone: (734) 720-7920
Fax: (734) 720-7965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20831 Ridgemont Rd, Harper Woods, MI 48225 — (313) 930-0258

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704231587 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704231587 (MI)

Record details

NPI number1639660046
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedMay 21, 2018
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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