Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients173
Services billed 513 a service is one billed item, such as a visit, a test or a procedure
Average patient age67

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Open Water Counseling and Recovery LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 15 clinicians in the practice; 12 are shown here.

Other providers in Youngstown