STEPHANIE DAWN KOVALCHIK NP
NPI 1124215819
Nurse Practitioner - Acute Care in Seaman, OH

Q: What is Stephanie Kovalchik's NPI number?

The NPI number for Stephanie Kovalchik is 1124215819. It was assigned to this individual provider in the NPPES registry on September 27, 2007.

Q: What is Stephanie Kovalchik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since September 27, 2007PECOS Enrolled

78.78/100

CMS Quality Rating

230 MEDICAL CENTER DR, SEAMAN, OH 45679(513) 475-8521(513) 475-7480 Get Directions Write a Review

NPPES record last updated: September 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2020, Oct 23, 2017, Jun 30, 2017 (3 updates tracked since 2017).

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About Stephanie Dawn Kovalchik Np NPPES

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

STEPHANIE DAWN KOVALCHIK NP (NPI 1124215819) is an individual acute care provider in Seaman, Ohio, licensed in Ohio (APRN.CNP.16591) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124215819

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameSTEPHANIE DAWN KOVALCHIKCredential: NP

Location Address230 MEDICAL CENTER DRSeaman, OH 45679-8002

Mailing Address2830 Victory PkwyCincinnati, OH 45206-1785 · (513) 245-3072 · Fax (513) 585-5511

Phone(513) 475-8521

Fax(513) 475-7480

Sole ProprietorNo

Enumeration DateSeptember 27, 2007

Last NPPES UpdateSeptember 28, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2020

✔ NPI 1124215819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in OH · APRN.CNP.16591✔ Licensed in OH · COA16591NP

Also ListedClinical Nurse Specialist · Acute CareTaxonomy 364SA2100X · License 5323P (KY)

230 MEDICAL CENTER DR, Seaman, OH 45679

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Dawn Kovalchik Np 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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

165 services93 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

95 services75 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services20 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

16 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45679 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

78.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.42

Promoting Interoperability

100

Improvement Activities

Cost

58.86

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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.

ADAMS COUNTY REGIONAL MEDICAL CENTER

Nurse Anesthetist, Certified Registered