BARBARA LOU SWARTZ CRNP
NPI 1083966345
Nurse Practitioner - Family in Mobile, AL

Active since October 11, 2012PECOS EnrolledAccepts Medicare Assignment
251 N BAYOU ST, MOBILE, AL 36603(251) 690-8894(251) 544-2188 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Barbara Lou Swartz Crnp NPPES

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

BARBARA LOU SWARTZ CRNP (NPI 1083966345) is an individual family provider in Mobile, Alabama, licensed in Alabama (1-121688) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2012).

NPPES Registry Identity

NPI1083966345
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBARBARA LOU SWARTZCredential: CRNP
Location Address251 N BAYOU STMobile, AL 36603-5827
Mailing AddressPo Box 2867Mobile, AL 36652-2867 · (251) 690-8894 · Fax (251) 544-2188
Fax(251) 544-2188
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2012
Enumeration DateOctober 11, 2012
Last NPPES UpdateMay 9, 2025
NPPES CertifiedMay 9, 2025
NPI 1083966345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · 1-121688
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 1-121688 (AL)
251 N BAYOU ST, Mobile, AL 36603

Other Identifiers 3

Other1063439065AL · Npi Group Main Payee Number
Medicaid630000013AL
Other011846AL · Medicare Group Payee Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Barbara Lou Swartz Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870747397
PECOS Enrollment IDI20130211000357
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
28 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
20 services18 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
20 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
43%257 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
24%324 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
2%220 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Family)
251 N BAYOU ST
MOBILE, AL 36603
Pharmacist
251 N BAYOU ST
MOBILE, AL 36603
Clinic/Center (Public Health, State or Local)
251 N BAYOU ST
MOBILE, AL 36603
Nurse Practitioner (Family)
251 N BAYOU ST
MOBILE, AL 36603
Dentist (General Practice)
251 N BAYOU ST
MOBILE, AL 36603
Public Health or Welfare
251 N BAYOU ST
MOBILE, AL 36603
Clinic/Center (Federally Qualified Health Center (FQHC))
251 N BAYOU ST
MOBILE, AL 36603
Dentist
251 N BAYOU ST
MOBILE, AL 36603

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 Barbara Swartz's NPI number?

The NPI number for Barbara Swartz is 1083966345. It was assigned to this individual provider in the NPPES registry on October 11, 2012.

Where is Barbara Swartz located?

Barbara Swartz practices at 251 N Bayou St, Mobile, AL 36603. The listed phone number is (251) 690-8894.

What is Barbara Swartz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Barbara Swartz enrolled in Medicare?

Yes. Barbara Swartz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Barbara Swartz accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Barbara Swartz 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 Barbara Swartz was last updated on May 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.