MICHELE MARIE SWANHART CRNP
NPI 1013077999
Nurse Practitioner - Family in Johnstown, PA
NPI Status: Active since December 11, 2006
Contact Information
817 FRANKLIN ST
JOHNSTOWN, PA
ZIP 15901
Phone: (814) 539-7507
Fax: (814) 535-5547
- Individual
- Female
- Nurse Practitioner
- Family
- PECOS Enrolled
About MICHELE SWANHART
This page provides the complete NPI Profile along with additional information for Michele Swanhart, a provider established in Johnstown, Pennsylvania with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1013077999 assigned on December 2006. The practitioner's primary taxonomy code is 363LF0000X with license number SP005742B (PA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1013077999
- Provider Name
- MICHELE MARIE SWANHART CRNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 817 FRANKLIN ST JOHNSTOWN, PA 15901
- Location Phone
- (814) 539-7507
- Location Fax
- (814) 535-5547
- Mailing Address
- 131 THOMAS ST MINERAL POINT, PA 15942
- Mailing Phone
- (814) 322-3208
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-11-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A nurse practitioner (NP) like Michele Swanhart is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- SP005742B
- License State
- PA
Medicare Participation & PECOS Enrollment Status
Michele Swanhart is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 15901 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.88
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $21.22
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.82
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $24.2
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 0 | 7 | 7 | 9 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 0 | 7 | 14 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 0 + 7 + 1 + 4 + 9 + 1 + 8 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1013077999 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
LEONA RENATE LOGAN CNM
Advanced Practice Midwife
817 FRANKLIN ST
JOHNSTOWN, PA
ZIP 15901
MONIQUE DAWN MALLOY CRNP
Nurse Practitioner
(Family)
817 FRANKLIN ST
JOHNSTOWN, PA
ZIP 15901
EMILY LINGENFELTER CNM
Advanced Practice Midwife
817 FRANKLIN ST
JOHNSTOWN, PA
ZIP 15901
PLANNED PARENTHOOD OF WESTERN PENNSYLVANIA, INC
Clinic/Center
(Family Planning, Non-Surgical)
817 FRANKLIN ST
JOHNSTOWN, PA
ZIP 15901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013077999, enumerated as an "individual" on December 11, 2006.
The provider is located at 817 FRANKLIN ST JOHNSTOWN, PA 15901 and the phone number is (814) 539-7507.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
