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

Individual provider Family Nurse Practitioner · NPI 1174271803

Michael James Lewis, FNP-BC is a Nurse Practitioner in Eldon, Missouri. Qualified in 2021, 5 years ago. Practices with Lake Regional Health System, a 131-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2022
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

304A E 4th St
Eldon, MO 65026-1808
Phone: (573) 552-5700
Fax: (573) 557-2401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 W Business Loop 70 Ste 275, Columbia, MO 65203-2522 — (573) 874-0008

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2022007578 (MO)

Record details

NPI number1174271803
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMarch 11, 2022
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lake Regional Health System — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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