ASHLEY SWETNAM CNP
NPI 1174964605
Nurse Practitioner - Family in Columbus, OH
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Ashley Swetnam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbus, OH 43222
- Reassigned Medicare billing, Ohio enrollment
- 241 clinicians in this Medicare group
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.
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, OHMount Carmel East & West
Acute Care Hospitals · Columbus, OHPhysician 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.
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.
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.
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.
Which organization bills Medicare for Ashley Swetnam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Swetnam reassigns Medicare benefits to Mount Carmel Healthproviders Two 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 Ashley Swetnam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ashley Swetnam accept?
Health plans from Antidote Health Plan of Ohio, Inc., Molina Healthcare and UnitedHealthcare 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.