DELAINA MICHELLE SWINEY FNP-C
NPI 1285374728
Nurse Practitioner - Family in Chicago, IL

Active since March 31, 2022PECOS EnrolledAccepts Medicare Assignment
9718 S HALSTED ST, CHICAGO, IL 60628(773) 233-4100 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Delaina Michelle Swiney Fnp-c NPPES

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

DELAINA MICHELLE SWINEY FNP-C (NPI 1285374728) is an individual family provider in Chicago, Illinois, licensed in Illinois (209024924) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Osf Little Company Of Mary Medical Center, and maintains a secondary practice location in Chicago Heights.

NPPES Registry Identity

NPI1285374728
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDELAINA MICHELLE SWINEYCredential: FNP-C
Location Address9718 S HALSTED STChicago, IL 60628-1007
Mailing Address9718 S Halsted StChicago, IL 60628-1007 · (773) 233-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 31, 2022
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
NPI 1285374728 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 IL · 209024924
9718 S HALSTED ST, Chicago, IL 60628

Secondary Practice Location 1

Location 11400 Otto BlvdChicago Heights, IL 60411-3871 · Phone (708) 733-7200 · Fax (708) 733-7222

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

Delaina Michelle Swiney Fnp-c 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 ID9234516931
PECOS Enrollment IDI20220518002800
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.

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.
84 services76 patients
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.
26 services26 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60628 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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
35%60 patients2/55-star benchmark: 93%
Cervical Cancer Screening
51%158 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
5%571 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
18%171 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
36%121 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
3%71 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
31%71 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
75%435 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%27 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
65%368 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
87%343 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 50% · 333 patients
Patients screened: 56% · 333 patients
65%54 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%81 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 38 patients
Patients totalRate: 8% · 39 patients
8%39 patients4/55-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 (Psychiatric/Mental Health)
9718 S HALSTED ST
CHICAGO, IL 60628
Obstetrics & Gynecology
9718 S HALSTED ST
CHICAGO, IL 60628
Dentist (General Practice)
9718 S HALSTED ST
CHICAGO, IL 60628
Nurse Practitioner (Family)
9718 S HALSTED ST
CHICAGO, IL 60628
Nurse Practitioner (Psychiatric/Mental Health)
9718 S HALSTED ST
CHICAGO, IL 60628
Counselor (Professional)
9718 S HALSTED ST
CHICAGO, IL 60628
Nurse Practitioner (Psychiatric/Mental Health)
9718 S HALSTED ST
CHICAGO, IL 60628
Pharmacy (Community/Retail Pharmacy)
9718 S HALSTED ST
CHICAGO, IL 60628

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 Delaina Swiney's NPI number?

The NPI number for Delaina Swiney is 1285374728. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Delaina Swiney located?

Delaina Swiney practices at 9718 S Halsted St, Chicago, IL 60628. The listed phone number is (773) 233-4100.

What is Delaina Swiney's specialty?

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

Is Delaina Swiney enrolled in Medicare?

Yes. Delaina Swiney 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 Delaina Swiney accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Delaina Swiney 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 Delaina Swiney affiliated with any hospitals?

According to CMS data, Delaina Swiney is affiliated with Osf Little Company Of Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Delaina Swiney was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.