ASHLEY SWETNAM CNP
NPI 1174964605
Nurse Practitioner - Family in Columbus, OH

Active since July 12, 2013PECOS EnrolledAccepts Medicare Assignment
75.15/100
CMS Quality Rating
1144 DUBLIN RD, COLUMBUS, OH 43215(614) 234-0200 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ashley Swetnam Cnp NPPES

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

ASHLEY SWETNAM CNP (NPI 1174964605) is an individual family provider in Columbus, Ohio, licensed in Ohio (14702NP) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174964605
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY SWETNAMCredential: CNP
Location Address1144 DUBLIN RDColumbus, OH 43215-1039
Mailing Address1144 Dublin RdColumbus, OH 43215-1039 · (614) 234-0200
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 12, 2013
Last NPPES UpdateMarch 10, 2022
NPPES CertifiedMarch 10, 2022
NPI 1174964605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · 14702NP
1144 DUBLIN RD, Columbus, OH 43215

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

Ashley Swetnam Cnp 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 ID6800039561
PECOS Enrollment IDI20130827000938
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services35 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
34 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
29 services27 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43215 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.

75.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.24
Promoting Interoperability78
Improvement Activities40
Cost59.25

Other Providers at the Same Location NPPES 15

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

Clinical Nurse Specialist
1144 DUBLIN RD
COLUMBUS, OH 43215
Family Medicine (Hospice and Palliative Medicine)
1144 DUBLIN RD
COLUMBUS, OH 43215
Internal Medicine
1144 DUBLIN RD
COLUMBUS, OH 43215
Nurse Practitioner (Family)
1144 DUBLIN RD
COLUMBUS, OH 43215
Internal Medicine
1144 DUBLIN RD, SUITE A
COLUMBUS, OH 43215
Nurse Practitioner (Family)
1144 DUBLIN RD
COLUMBUS, OH 43215
Nurse Practitioner (Family)
1144 DUBLIN RD
COLUMBUS, OH 43215
Dietitian, Registered
1144 DUBLIN RD
COLUMBUS, OH 43215

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 Ashley Swetnam's NPI number?

The NPI number for Ashley Swetnam is 1174964605. It was assigned to this individual provider in the NPPES registry on July 12, 2013.

Where is Ashley Swetnam located?

Ashley Swetnam practices at 1144 Dublin Rd, Columbus, OH 43215. The listed phone number is (614) 234-0200.

What is Ashley Swetnam's specialty?

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

Is Ashley Swetnam enrolled in Medicare?

Yes. Ashley Swetnam 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 Ashley Swetnam accept?

Health plans from Oscar Health Insurance list Ashley Swetnam 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.

Is Ashley Swetnam affiliated with any hospitals?

According to CMS data, Ashley Swetnam is affiliated with Mount Carmel St Ann's and Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Ashley Swetnam was last updated on March 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.