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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDREA L SWAILS PMHNP
NPI 1154669687
Nurse Practitioner - Psychiatric/Mental Health in Cleveland, OH

Active since January 17, 2013PECOS Enrolled
1468 W 9TH ST STE 100, CLEVELAND, OH 44113(216) 546-4141(866) 704-0173 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 8, 2026, Jul 17, 2023, Jun 11, 2019 and 1 more (4 updates tracked since 2019).

About Andrea L Swails Pmhnp NPPES

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

ANDREA L SWAILS PMHNP (NPI 1154669687) is an individual psychiatric/mental health provider in Cleveland, Ohio, licensed in Ohio (APRN.CNP.0034227) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154669687
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANDREA L SWAILSCredential: PMHNP
Location Address1468 W 9TH ST STE 100Cleveland, OH 44113-1252
Mailing Address1468 W 9th St Ste 100Cleveland, OH 44113-1252 · (216) 546-4141 · Fax (866) 704-0173
Phone(216) 546-4141
Fax(866) 704-0173
Sole ProprietorYes
Enumeration DateJanuary 17, 2013
Last NPPES UpdateOctober 8, 20264 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1154669687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0034227
Also ListedRegistered NurseTaxonomy 163W00000X · License RN363557 (OH)
1468 W 9TH ST STE 100, Cleveland, OH 44113
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance 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)

Andrea L Swails Pmhnp 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 Reassignments

3

Medicare enrollment records show Andrea Swails reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Viaquest Psychiatric & Behavioral Solutions LLC
123 mi
Case Manager/Care Coordinator
525 METRO PL N STE 300
Dublin, OH 43017
  • Reassigned Medicare billing, Ohio enrollment
  • 200 clinicians in this Medicare group
NPI 1386155711 (614) 339-8436
Mental Health Specialty Group PA
408 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Ohio enrollment
  • 130 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088
Grow Healthcare Group PA
1,087 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Ohio enrollment
  • 725 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
289 services97 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
22 services22 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44113 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.

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.

SHERONDA CATINA ALBURG
Case Manager/Care Coordinator
1468 W 9TH ST STE 100
CLEVELAND, OH 44113
Cuyahoga County (410) 991-5735
GUARDIANS HOME HEALTHCARE LLC
Home Health
1468 W 9TH ST STE 100
CLEVELAND, OH 44113
Cuyahoga County (732) 209-0901
A BETTER SOLUTION IN HOME CARE OHIO
In Home Supportive Care
1468 W 9TH ST STE 100
CLEVELAND, OH 44113
Cuyahoga County (877) 585-9011
CARELINK HEALTH LLC
Clinic/Center (Health Service)
1468 W 9TH ST STE 100
CLEVELAND, OH 44113
Cuyahoga County (216) 832-0356
ALEGRIA HOME CARE OH LLC
Home Health
1468 W 9TH ST STE 100
CLEVELAND, OH 44113
Cuyahoga County (516) 605-5236
BRIGHT PATH HOME CARE OF OHIO
Home Health
1468 W 9TH ST STE 100
CLEVELAND, OH 44113
Cuyahoga County (216) 223-8680
HARMONY HOME HEALTHCARE
Home Health
1468 W 9TH ST STE 100
CLEVELAND, OH 44113
Cuyahoga County (614) 342-9443
BRIDGES CSA INC
Community/Behavioral Health
1468 W 9TH ST STE 100
CLEVELAND, OH 44113
Cuyahoga County (216) 438-3349

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 Andrea Swails's NPI number?

The NPI number for Andrea Swails is 1154669687. It was assigned to this individual provider in the NPPES registry on January 17, 2013.

Where is Andrea Swails located?

Andrea Swails practices at 1468 W 9th St Ste 100, Cleveland, OH 44113. The listed phone number is (216) 546-4141.

What is Andrea Swails's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Andrea Swails enrolled in Medicare?

Yes. Andrea Swails is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrea Swails's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Swails reassigns Medicare benefits to 3 organizations: Viaquest Psychiatric & Behavioral Solutions LLC (Dublin, OH), Mental Health Specialty Group PA (Durham, NC) and Grow Healthcare Group PA (Miami, FL). Each 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 Andrea Swails's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Swails accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Andrea Swails 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 Andrea Swails was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.