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

Kathleen Lewis

Individual provider Nurse Practitioner · NPI 1053963611

Kathleen Lewis is a Nurse Practitioner in Shelby Township, Michigan. Qualified in 2019, 7 years ago. Practices with Berkley Urgent Care PLLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019

Practice location Address checks out

46961 Van Dyke Ave
Shelby Township, MI 48317
Phone: (586) 991-5205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2915 Walton Blvd, Rochester Hills, MI 48309-1419 — (248) 759-4222

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704313036 (MI)

Record details

NPI number1053963611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2019
Last updated in NPPESJuly 18, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Berkley Urgent Care Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shelby Township