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

MS. Nichole Michele Lewis, PA

Individual provider Physician Assistant · NPI 1730357104

MS. Nichole Michele Lewis, PA is a Physician Assistant in Saint Louis, Missouri. Qualified in 2007, 19 years ago. Practices with Washington University, a 2,986-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
19
Licensed in
MO
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4921 Parkview Pl Div Im Gastroenterology Ste 12B
Saint Louis, MO 63110-1032
Phone: (314) 747-2066
Fax: (314) 747-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2008003778 (MO)

Record details

NPI number1730357104
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 19, 2008
Last updated in NPPESApril 17, 2025
Certification dateSeptember 9, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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