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MR. KEVIN NISWONGER RN
NPI 1023541422
Registered Nurse - Critical Care Medicine in Columbus, OH

Active since April 04, 2017PECOS Enrolled
460 W 10TH AVE, COLUMBUS, OH 43210(614) 293-5000 Get Directions Write a Review

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Kevin Niswonger Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN NISWONGER RN (NPI 1023541422) is an individual critical care medicine provider in Columbus, Ohio, licensed in Ohio (410600) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023541422
Entity TypeIndividualMale
Primary Taxonomy163WC0200X
Provider Legal NameMR. KEVIN NISWONGERCredential: RN
Location Address460 W 10TH AVEColumbus, OH 43210-1240
Mailing Address5562 Freedom RunOrient, OH 43146-9354 · (513) 477-1119
Phone(614) 293-5000
Sole ProprietorYes
Enumeration DateApril 4, 2017
✔ NPI 1023541422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in OH · 410600
460 W 10TH AVE, Columbus, OH 43210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kevin Niswonger Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Niswonger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osu Internal Medicine, LLC
0.1 mi
Internal Medicine
410 W 10TH AVE
Columbus, OH 43210
  • Reassigned Medicare billing, Ohio enrollment
  • 1,230 clinicians in this Medicare group
NPI 1740231448 (614) 293-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHIEMEZIE CHIANOTU AMADI MD
Radiology (Diagnostic Radiology)
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8315
DR. GEORGE K NIMAKO PHARMD
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3312
ALBERT J. COOK MD
Internal Medicine (Hospice and Palliative Medicine)
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-2957
WALTER G. HANEL IV MD, PHD
Internal Medicine (Hematology)
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3196
CHRISTINE HWANG PHARMD
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3312
KEVIN C. FOY APRN-CNP, PHD
Nurse Practitioner (Family)
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3196
JACOB LYNN MD
Hospitalist
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-7499
DR. MAXIMILLIAN HUGH STEVENSON PHARMD
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 685-4708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Niswonger's NPI number?

The NPI number for Kevin Niswonger is 1023541422. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is Kevin Niswonger located?

Kevin Niswonger practices at 460 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-5000.

What is Kevin Niswonger's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

Is Kevin Niswonger enrolled in Medicare?

Yes. Kevin Niswonger is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Niswonger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Niswonger reassigns Medicare benefits to Osu Internal Medicine, LLC (Columbus, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Niswonger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Niswonger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource list Kevin Niswonger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Niswonger was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.