PEGGY SUE SWANK ARNP
NPI 1447752464
Nurse Practitioner - Family in Ottumwa, IA

Q: What is Peggy Swank's NPI number?

The NPI number for Peggy Swank is 1447752464. It was assigned to this individual provider in the NPPES registry on March 6, 2018.

Q: What is Peggy Swank's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Peggy Swank was last updated on March 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 06, 2018PECOS EnrolledAccepts Medicare Assignment

1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501(641) 683-6868 Get Directions Write a Review

NPPES record last updated: March 6, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Peggy Sue Swank Arnp NPPES

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

PEGGY SUE SWANK ARNP (NPI 1447752464) is an individual family provider in Ottumwa, Iowa, licensed in Iowa (A078716) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Ottumwa Regional Health Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1447752464

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePEGGY SUE SWANKCredential: ARNP

Location Address1001 PENNSYLVANIA AVEOttumwa, IA 52501-6427

Mailing Address1001 Pennsylvania AveOttumwa, IA 52501-6427 · (641) 683-6868

Phone(641) 683-6868

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 6, 2018

✔ NPI 1447752464 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 IA · A078716

1001 PENNSYLVANIA AVE, Ottumwa, IA 52501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Peggy Sue Swank Arnp 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 ID143582635

PECOS Enrollment IDI20180321001272

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 Peggy Swank reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ottumwa Health Group LLC

0.2 mi

Gynecology

1001 PENNSYLVANIA AVE
Ottumwa, IA 52501

Reassigned Medicare billing, Iowa enrollment
86 clinicians in this Medicare group

NPI 1386956290 (641) 682-7511

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

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

42 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Ottumwa Regional Health Center

Acute Care Hospitals · Ottumwa, IA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number160089

Location1001 E PennsylvaniaOttumwa, IA 52501 · Wapello County

Emergency services Birthing friendly

Davis County Hospital

Critical Access Hospitals · Bloomfield, IA

OwnershipGovernment - Local

CMS Certification Number161327

Location509 North Madison StreetBloomfield, IA 52537 · Davis County

Emergency services

Jefferson County Health Center

Critical Access Hospitals · Fairfield, IA

OwnershipGovernment - Local

CMS Certification Number161364

Location2000 S MainFairfield, IA 52556 · Jefferson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52501 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%1,428 patients4/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

41%292 patients2/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

15%168 patients1/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

88%624 patients4/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

69%624 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

18%624 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

20%624 patients

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$36.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RCHP OTTUMWA LLC

General Acute Care Hospital