Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jerry Wayne Lewis, APRNPMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1720718620

Jerry Wayne Lewis, APRNPMHNP-BC is a Nurse Practitioner in London, Kentucky. Qualified in 2022, 4 years ago. Practices with Kentucky Rural Health Information Technology Network Inc, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
4
Licensed in
KY
In the registry since
2022
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Practice location Address checks out

103 Sycamore St
London, KY 40741-1740
Phone: (606) 312-4761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 3017921 (KY)

Record details

NPI number1720718620
Entity typeIndividual (Type 1)
GenderMale
Credentials APRNPMHNP-BC
Sole proprietorYes
NPI enumeratedJune 14, 2022
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Kentucky Rural Health Information Technology Network Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in London