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DR. MIKELA JENNIFER SWENSON M.D.
NPI 1407878655
Family Medicine in Hagerstown, MD

Active since July 24, 2006PECOS Enrolled
89.89/100
CMS Quality Rating
13620 CRAYTON BLVD STE A, HAGERSTOWN, MD 21742(240) 313-3100 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2023, Mar 7, 2023 (2 updates tracked since 2023).

About Dr. Mikela Jennifer Swenson M.d. NPPES

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

DR. MIKELA JENNIFER SWENSON M.D. (NPI 1407878655) is an individual family medicine provider in Hagerstown, Maryland, licensed in Maryland (D80691) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wilkes Barre Township.

NPPES Registry Identity

NPI1407878655
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MIKELA JENNIFER SWENSONCredential: M.D.
Location Address13620 CRAYTON BLVD STE AHagerstown, MD 21742-2335
Mailing Address13620 Crayton Blvd Ste AHagerstown, MD 21742-2335
Phone(240) 313-3100
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
✔ NPI 1407878655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MD · D80691✔ Licensed in WV · 25772✔ Licensed in GA · 055652
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13620 CRAYTON BLVD STE A, Hagerstown, MD 21742
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Secondary Practice Location 1

Location 11130 Highway 315 BlvdWilkes Barre Township, PA 18702-6952 · Phone (570) 822-3300

Other Identifiers 2

Other055652GA · State License #
OtherBS9070777Dea

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mikela Jennifer Swenson M.d. 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 Reassignment

Medicare enrollment records show Mikela Swenson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Department Of Health & Human Services Phs Ihs
997 mi
Critical Access
425 7TH ST NW
Cass Lake, MN 56633
  • Reassigned Medicare billing, Texas enrollment
  • 98 clinicians in this Medicare group
NPI 1194754382 (218) 335-3200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

DENISE L BELTOWSKI PAC
Physician Assistant
13620 CRAYTON BLVD STE A
HAGERSTOWN, MD 21742
Washington County (240) 313-3100
HANNAH LEE KERNS NP
Nurse Practitioner (Family)
13620 CRAYTON BLVD STE A
HAGERSTOWN, MD 21742
Washington County (240) 313-3100
MERITUS URGENT CARE LLC
Clinic/Center (Urgent Care)
13620 CRAYTON BLVD STE A
HAGERSTOWN, MD 21742
Washington County (301) 302-7837
TALIA WINSHIP-BARNES SMITH DO
Family Medicine
13620 CRAYTON BLVD STE A
HAGERSTOWN, MD 21742
Washington County (240) 313-3100
DANIELLE PAVLYN DOBBINS PA-C, MMS
Physician Assistant (Medical)
13620 CRAYTON BLVD STE A
HAGERSTOWN, MD 21742
Washington County (240) 313-3100
BROCK WIDDER
Physician Assistant
13620 CRAYTON BLVD STE A
HAGERSTOWN, MD 21742
Washington County (240) 313-3100
TEZEL ODESSA GERSPACHER FNP-C
Nurse Practitioner (Family)
13620 CRAYTON BLVD STE A
HAGERSTOWN, MD 21742
Washington County (240) 313-3100
MERITUS URGENT CARE, LLC
Clinic/Center (Urgent Care)
13620 CRAYTON BLVD STE A
HAGERSTOWN, MD 21742
Washington County (240) 313-3100

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 Mikela Swenson's NPI number?

The NPI number for Mikela Swenson is 1407878655. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Mikela Swenson located?

Mikela Swenson practices at 13620 Crayton Blvd Ste A, Hagerstown, MD 21742. The listed phone number is (240) 313-3100.

What is Mikela Swenson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mikela Swenson enrolled in Medicare?

Yes. Mikela Swenson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mikela Swenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mikela Swenson reassigns Medicare benefits to Department Of Health & Human Services Phs Ihs (Cass Lake, MN). 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 Mikela Swenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mikela Swenson was last updated on December 11, 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.