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

Nicole Kristine Lewis, CNPPMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1407465610

Nicole Kristine Lewis, CNPPMHNP is a Nurse Practitioner in Youngstown, Ohio. Qualified in 2020, 6 years ago. Practices with Open Water Counseling and Recovery LLC, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2020
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Practice location Address checks out

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone: (330) 480-3605
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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 APRN.CNP.0027193 (OH)

Record details

NPI number1407465610
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNPPMHNP
Sole proprietorYes
NPI enumeratedJuly 24, 2020
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Open Water Counseling And Recovery Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Youngstown