DEBORAH S SWINEHART APRN
NPI 1396305090
Nurse Practitioner - Psychiatric/Mental Health in Canton, OH

Active since June 17, 2019PECOS EnrolledAccepts Medicare Assignment
88.51/100
CMS Quality Rating
236 3RD ST SW, CANTON, OH 44702(307) 544-4313(330) 244-8839 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Jun 15, 2023, Jun 5, 2023 and 3 more (6 updates tracked since 2019).

About Deborah S Swinehart Aprn NPPES

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

DEBORAH S SWINEHART APRN (NPI 1396305090) is an individual psychiatric/mental health provider in Canton, Ohio, licensed in Ohio (APRN.CNP.0028772) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1396305090
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDEBORAH S SWINEHARTCredential: APRN
Location Address236 3RD ST SWCanton, OH 44702-1607
Mailing Address236 3rd St SwCanton, OH 44702-1607 · (307) 544-4313 · Fax (330) 244-8839
Fax(330) 244-8839
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 17, 2019
Last NPPES UpdateApril 8, 20256 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
NPI 1396305090 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.0028772
Also ListedRegistered NurseTaxonomy 163W00000X · License RN295782 (OH)
236 3RD ST SW, Canton, OH 44702

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

Deborah S Swinehart Aprn 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 ID9931518792
PECOS Enrollment IDI20210506002001
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 10

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 straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
476 services191 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
345 services143 patients
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.
295 services157 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
150 services72 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
147 services82 patients
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.
87 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44702 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.

88.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.4
Improvement Activities40
Cost77.15

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 (Family)
236 3RD ST SW
CANTON, OH 44702
Internal Medicine
236 3RD ST SW
CANTON, OH 44702
Internal Medicine
236 3RD ST SW
CANTON, OH 44702
Nurse Practitioner (Gerontology)
236 3RD ST SW
CANTON, OH 44702
Nurse Practitioner (Family)
236 3RD ST SW
CANTON, OH 44702
Nurse Practitioner (Family)
236 3RD ST SW
CANTON, OH 44702
Nurse Practitioner
236 3RD ST SW
CANTON, OH 44702
Nurse Practitioner (Family)
236 3RD ST SW
CANTON, OH 44702

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 Deborah Swinehart's NPI number?

The NPI number for Deborah Swinehart is 1396305090. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Deborah Swinehart located?

Deborah Swinehart practices at 236 3rd St SW, Canton, OH 44702. The listed phone number is (307) 544-4313.

What is Deborah Swinehart's specialty?

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

Is Deborah Swinehart enrolled in Medicare?

Yes. Deborah Swinehart 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 Deborah Swinehart accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Deborah Swinehart 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 Deborah Swinehart was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.