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Shaelah Ellen Lewis, NP

Nurse Practitioner · Laytonville

NPI 1710654660

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
3
Since medical school
5 years
University of California, Davis School of Medicine, 2021

Offices

3 locations · Long Valley Health Center · 11 clinicians in this group

Looking this up.

Hospitals listed: Adventist Health Howard Memorial. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Shaelah Ellen Lewis’s office at (707) 984-6131 to ask if they take your plan before you enroll.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Adventist Health Howard MemorialWillits, CACritical Access Hospital · Voluntary non-profit - Private · No emergency departmentPart of Adventist Health, which runs 28 hospitals in 3 statesPatients rate it 4 of 5 · 80% would definitely recommend it
    Overall rating: 5 of 5 starsNo measure marked better or worse than the national rate
See every measure and the patient survey for Adventist Health Howard Memorial

Behind the star rating — Deaths: 0 better, 4 the same, 0 worse of 4 measures. Safety: 0 better, 3 the same, 0 worse of 3 measures. Readmissions: 1 better, 5 the same, 0 worse of 6 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Adventist Health Howard Memorial
Death rate for heart failure patientsComplications and deaths11.3 · 63 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.4 · 115 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.5 · 51 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.3 · 398 casesNoneJul 2024 – Jun 2025
Rate of complications for hip/knee replacement patientsComplications and deaths3.8 · 47 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0No differentOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.636No differentOct 2024 – Sep 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 56 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits18.4 · 76 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-15.3 · 123 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits17 · 102 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits12.4 (9.2 to 16.7) · 231 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.1 (0.8 to 1.5) · 232 casesNo differentJan 2024 – Dec 2024

What patients said (179 patients answered, 23% of those asked)

Patient survey stars by topic at Adventist Health Howard Memorial
Cleanliness5
Nurse communication4
Doctor communication4
Communication about medicines4
Discharge information4
Overall hospital rating4
Quietness3
Recommend hospital5
Share of patients giving the best answer at Adventist Health Howard Memorial
Room was "always" clean86%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained66%
Yes, staff "did" give patients this information88%
Yes, staff "did" give patients information about help after discharge90%
Doctors "always" explained things so they could understand75%
Doctors "always" listened carefully81%
Doctors "always" treated them with courtesy and respect86%
Patients who gave a rating of "9" or "10" (high)77%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand77%
Nurses "always" listened carefully77%
Nurses "always" treated them with courtesy and respect83%
"Always" quiet at night50%
"YES", patients would definitely recommend the hospital80%
Staff "always" explained possible side effects55%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$1,403

Medicare paid this office $1,403 for 55 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Testing for presence of drug, read by direct observation16$272$12
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report14$99$7
Urinalysis, manual test22$89$3

Who their Medicare patients are

55 Original Medicare patients in 2024. Average age 72 · Women 67% · Also on Medicaid 46% · Health risk score 0.99. At or below the middle of the specialty; the typical nurse practitioner clinician is at 1.42.

Conditions among them: High blood pressure 56% · Diabetes 29% · COPD 24% · Depression 24%.

The office billed $3,670, Medicare allowed $1,478 and paid $1,403; for 79 services of 7 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20245579720.99$3,670$1,403
20233648690.98$1,750$1,008
20224263700.97$2,663$2,128

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 1 service

Original Medicare services billed in 2023
Urinalysis, manual test19$78$3

2022: 3 services

Original Medicare services billed in 2022
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected12$1,683$140
Testing for presence of drug, read by direct observation11$262$12
Urinalysis, manual test13$58$3

Medicaid work

$345,622 in 2024

Medicaid paid $345,622 for 4,208 billed services this clinician did in 2024, up to 138 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Clinic visit/encounter, all-inclusive1,375$304,336
Other specified case management service not elsewhere classified325$39,300
Short return visit (20+ min)1,716$1,570
Return visit (30+ min)136$225
Handling and/or conveyance of specimen for transfer from physician office to laboratory68$105
Short return visit26$40
EMERGENCY DEPT VISIT LOW MDM109$24
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)37$22
COLLECTION VENOUS BLOOD VENIPUNCTURE263$0
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit153$0
Medicaid work by year
20244,20810138$345,622
20234,3909155$328,870
20222,80810114$209,344
202197334$11,250
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive1,525$325,166
Short return visit (20+ min)1,905$2,949
Handling and/or conveyance of specimen for transfer from physician office to laboratory235$454
Return visit (30+ min)133$222
Short return visit52$80
COLLECTION VENOUS BLOOD VENIPUNCTURE219$0
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)42$0
EMERGENCY DEPT VISIT LOW MDM155$0
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit124$0

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive983$204,873
Short return visit (20+ min)1,219$2,138
Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected17$1,854
Handling and/or conveyance of specimen for transfer from physician office to laboratory219$461
Short return visit98$18
COLLECTION VENOUS BLOOD VENIPUNCTURE170$0
Bilateral quantitative screening test of visual acuity17$0
EMERGENCY DEPT VISIT LOW MDM48$0
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit21$0
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only16$0

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive67$11,250
Short return visit (20+ min)17$0
Return visit (30+ min)13$0

Drugs they prescribed that Part D paid

$431,440

Pharmacies billed $431,440 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 9% of their Part D prescriptions (138 of 1,589) in 2024. Above the middle of the specialty; the typical nurse practitioner clinician is at 0%. Long-acting opioids: 17% of their opioid prescriptions.

1,218 generic and fewer than 11 brand-name prescriptions · $431,440 in drug cost · 58 antibiotic prescriptions to 36 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Odefsey12$41,957$3,496
Tivicay18$40,278$2,238
Jardiance19$29,103$1,532
Ozempic21$19,045$907
Anoro Ellipta12$9,295$775
See all 42 drugs
Every Part D drug this clinician prescribed
Odefsey12$41,957$3,496
Tivicay18$40,278$2,238
Jardiance19$29,103$1,532
Ozempic21$19,045$907
Anoro Ellipta12$9,295$775
Butrans11$8,091$736
Buprenorphine13$5,371$413
Ventolin Hfa33$2,657$81
Hydrocodone-Acetaminophen56$1,468$26
Albuterol Sulfate Hfa20$1,227$61
Levothyroxine75$1,158$15
Lantus14$1,076$77
Gabapentin49$1,070$22
Trazodone39$1,033$26
Humalog12$837$70
Atorvastatin72$785$11
Pregabalin18$779$43
Omeprazole46$741$16
Oxycodone39$626$16
Tamsulosin26$361$14
Potassium Chloride14$313$22
Losartan44$310$7
Montelukast18$272$15
Levocetirizine Dihydrochloride12$265$22
Meloxicam12$262$22
Lisinopril32$256$8
Amlodipine Besylate45$219$5
Celecoxib11$217$20
Pantoprazole14$199$14
Fluticasone Propionate17$199$12
Acyclovir12$188$16
Metoprolol11$182$17
Carvedilol18$167$9
Metformin20$153$8
Hydrochlorothiazide16$120$7
Furosemide17$117$7
Allopurinol12$91$8
Tramadol19$86$5
Sertraline19$86$5
Escitalopram11$75$7
Simvastatin13$46$4
Clonazepam14$46$3

Year by year

Part D prescribing by year
20241,5891999% (138)None$431,440
20231,0951508% (90)None$227,470
202260611313% (81)None$69,539
20212913NoneNone$6,728

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 29 drugs

Part D drugs prescribed in 2023
Ozempic16$17,863$1,116
Symbicort17$12,362$727
Buprenorphine14$5,775$413
Lantus13$4,066$313
Ventolin Hfa33$3,180$96
Shingrix13$2,530$195
Trazodone20$1,402$70
Levothyroxine48$1,360$28
Synthroid13$1,073$83
Gabapentin27$813$30
Pregabalin16$727$45
Fluticasone Propionate21$727$35
Lisinopril41$712$17
Hydrocodone-Acetaminophen36$651$18
Albuterol Sulfate Hfa17$636$37
Losartan35$612$17
Sertraline19$490$26
Montelukast21$481$23
Omeprazole36$471$13
Tamsulosin16$400$25
Atorvastatin34$388$11
Pantoprazole18$311$17
Oxycodone18$288$16
Metformin18$283$16
Prednisone14$112$8
Tramadol17$100$6
Hydrochlorothiazide12$79$7
Amlodipine Besylate15$76$5
Clonazepam15$71$5

2022: 17 drugs

Part D drugs prescribed in 2022
Symbicort11$6,137$558
Lantus15$4,549$303
Hydrocodone-Acetaminophen44$849$19
Levothyroxine32$589$18
Gabapentin15$323$22
Ketoconazole11$315$29
Omeprazole19$290$15
Atorvastatin15$268$18
Lisinopril28$255$9
Amlodipine Besylate15$213$14
Sertraline11$198$18
Fluticasone Propionate11$139$13
Oxycodone13$137$11
Losartan12$54$4
Tramadol11$25$2
Clonazepam11$22$2
Cyclobenzaprine11$16$1

Money from drug and device companies

$125 in 2024

Industry payments by year
202411None$125
202111None$13

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Gilead SciencesEpclusa$125
1 payment
  • Meals for Epclusa · 2024-03-20 · $125
See the published payment
Every published payment
Gilead SciencesMeals · 2024-03-20Epclusa$125
See earlier years (2021)

2021: $13

Payments by company in 2021
DexcomDexcom G6 Transmitter$13
1 payment
  • Meals for Dexcom G6 Transmitter · 2021-09-29 · $13

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
73.8 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1710654660
Licence
CA 95018055
Trained
University of California, Davis School of Medicine, 2021 · 5 years ago
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 363LF0000X (363LF0000X)
Mailing address
50 Branscomb Rd, Laytonville, CA, 95454
NPI first listed
2021-08-27
NPI last updated
2026-03-20
NPI record certified
2026-03-20

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 195 Page Mill Rd Ste 103, Palo Alto, CA, 94306