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MR. LEWIS WESLEY SWARTHOUT JR. PMHNP-BC
NPI 1437593894
Nurse Practitioner - Psychiatric/Mental Health in Colorado Springs, CO

Active since April 29, 2013PECOS EnrolledAccepts Medicare Assignment
5615 CONSTITUTION AVE, COLORADO SPRINGS, CO 80915(719) 465-2819(719) 465-2975 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, Mar 7, 2023, Jul 27, 2022 and 1 more (4 updates tracked since 2020).

About Mr. Lewis Wesley Swarthout Jr. Pmhnp-bc NPPES

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

MR. LEWIS WESLEY SWARTHOUT JR. PMHNP-BC (NPI 1437593894) is an individual psychiatric/mental health provider in Colorado Springs, Colorado, licensed in Colorado (APN.0996063-NP) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1437593894
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. LEWIS WESLEY SWARTHOUT JR.Credential: PMHNP-BC
Location Address5615 CONSTITUTION AVEColorado Springs, CO 80915-1218
Mailing Address5615 Constitution AveColorado Springs, CO 80915-1218 · (719) 465-2819 · Fax (719) 465-2975
Phone(719) 465-2819
Fax(719) 465-2975
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 29, 2013
Last NPPES UpdateNovember 8, 20234 updates tracked since enumeration
NPPES CertifiedNovember 8, 2023
✔ NPI 1437593894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CO · APN.0996063-NP
5615 CONSTITUTION AVE, Colorado Springs, CO 80915
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Mr. Lewis Wesley Swarthout Jr. Pmhnp-bc 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 ID3971742867
PECOS Enrollment IDI20200601001852
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 2

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 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.
358 services97 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
48 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80915 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Other Providers at the Same Location NPPES 3

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

KAYLA PREVIDI
Nurse Practitioner (Psychiatric/Mental Health)
5615 CONSTITUTION AVE
COLORADO SPRINGS, CO 80915
El Paso County (719) 465-2819
HARISA BEBA NP
Nurse Practitioner (Psychiatric/Mental Health)
5615 CONSTITUTION AVE
COLORADO SPRINGS, CO 80915
El Paso County (719) 465-2819
MILESTONE PSYCHIATRY INC
Clinic/Center (Adult Mental Health)
5615 CONSTITUTION AVE
COLORADO SPRINGS, CO 80915
El Paso County (719) 465-2819

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 Lewis Swarthout's NPI number?

The NPI number for Lewis Swarthout is 1437593894. It was assigned to this individual provider in the NPPES registry on April 29, 2013.

Where is Lewis Swarthout located?

Lewis Swarthout practices at 5615 Constitution Ave, Colorado Springs, CO 80915. The listed phone number is (719) 465-2819.

What is Lewis Swarthout's specialty?

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

Is Lewis Swarthout enrolled in Medicare?

Yes. Lewis Swarthout 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 Lewis Swarthout accept?

Health plans from Providence Health Plan list Lewis Swarthout 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 Lewis Swarthout was last updated on November 8, 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.