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

Mary Elizabeth Lewis, C-FNP

Individual provider Nurse Practitioner · NPI 1578579470

Mary Elizabeth Lewis, C-FNP is a Nurse Practitioner in Peoria, Illinois. Qualified in 1999, 27 years ago. Practices with Methodist Medical Center of Illinois, a 393-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
27
Licensed in
IL
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

5401 N Knoxville Ave Ste 208
Peoria, IL 61614-5021
Phone: (309) 672-4908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209002626 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 036066331 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 209002626 (IL)

Record details

NPI number1578579470
Entity typeIndividual (Type 1)
GenderFemale
Credentials C-FNP
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Methodist Medical Center Of Illinois — 393 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

Other providers in Peoria