ANN SWISHER ARNP
NPI 1487639712
Nurse Practitioner - Family in Cedar Falls, IA

NPI Status: Active since December 09, 2005

Contact Information

5100 PRAIRIE PKWY
STE 203
CEDAR FALLS, IA
ZIP 50613
Phone: (319) 222-2903
Fax: (319) 222-2993

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • PECOS Enrolled

About ANN SWISHER

This page provides the complete NPI Profile along with additional information for Ann Swisher, a provider established in Cedar Falls, Iowa with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1487639712 assigned on December 2005. The practitioner's primary taxonomy code is 363LF0000X with license number A-061686 (IA). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1487639712
Provider Name
ANN SWISHER ARNP
Gender
Female
Entity Type
Individual
Location Address
5100 PRAIRIE PKWY STE 203 CEDAR FALLS, IA 50613
Location Phone
(319) 222-2903
Location Fax
(319) 222-2993
Mailing Address
5100 PRAIRIE PKWY STE 203 CEDAR FALLS, IA 50613
Mailing Phone
(319) 222-2903
Mailing Fax
(319) 222-2993
Is Sole Proprietor?
No
Enumeration Date
12-09-2005
Last Update Date
01-23-2017
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A nurse practitioner (NP) like Ann Swisher is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
A-061686
License State
IA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

C-061686 (IA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Inspire by Medica Bronze $0 Copay PCP Visits - EPO
  • Inspire by Medica Bronze Share - EPO
  • Inspire by Medica Expanded Bronze Standard - EPO
  • Inspire by Medica Gold $0 Copay PCP Visits - EPO
  • Inspire by Medica Gold Share - EPO
  • Inspire by Medica Gold Standard - EPO
  • Inspire by Medica Silver $0 Copay PCP Visits - EPO
  • Inspire by Medica Silver Share - EPO
  • Inspire by Medica Silver Standard - EPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
54063OTHER (01)IAWELLMARK
S67570MEDICARE UPIN (02)IA 
0076372MEDICAID (05)IA 

Medicare Participation & PECOS Enrollment Status

Ann Swisher is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 50613 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.84
  • Minimum New Patient Price $52.96
  • Maximum New Patient Price $161.4
  • Average New Patient Copayment $20.46
  • Minimum New Patient Copayment $13.24
  • Maximum New Patient Copayment $40.35

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.05
  • Minimum Established Patient Price $16.91
  • Maximum Established Patient Price $131.98
  • Average Established Patient Copayment $23.51
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $32.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for ANN SWISHER ARNP

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1487639712, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 1 + 2 + 3 + 1 + 8 + 7 + 2 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1487639712.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
5100 PRAIRIE PKWY, STE 103
CEDAR FALLS, IA 50613
Nurse Practitioner (Family)
5100 PRAIRIE PKWY, SUITE 101
CEDAR FALLS, IA 50613
Physical Therapist
5100 PRAIRIE PKWY, SUITE 104
CEDAR FALLS, IA 50613
Occupational Therapist
5100 PRAIRIE PKWY, SUITE 104
CEDAR FALLS, IA 50613
Physical Therapist
5100 PRAIRIE PKWY, SUITE 104
CEDAR FALLS, IA 50613
Pediatrics
5100 PRAIRIE PKWY, STE 203
CEDAR FALLS, IA 50613
Occupational Therapist
5100 PRAIRIE PKWY, SUITE 104
CEDAR FALLS, IA 50613
Physical Therapist
5100 PRAIRIE PKWY, SUITE 104
CEDAR FALLS, IA 50613
Speech-Language Pathologist
5100 PRAIRIE PKWY, SUITE 104
CEDAR FALLS, IA 50613
Physical Therapist
5100 PRAIRIE PKWY, SUITE 104
CEDAR FALLS, IA 50613
Physical Therapist
5100 PRAIRIE PKWY, SUITE 104
CEDAR FALLS, IA 50613
Physical Therapist
5100 PRAIRIE PKWY, SUITE 104
CEDAR FALLS, IA 50613
Occupational Therapist
5100 PRAIRIE PKWY, ST 104
CEDAR FALLS, IA 50613
Speech-Language Pathologist
5100 PRAIRIE PKWY, SUTE 104
CEDAR FALLS, IA 50613
Physical Therapist (Pediatrics)
5100 PRAIRIE PKWY, SUITE 104
CEDAR FALLS, IA 50613
Nurse Practitioner (Family)
5100 PRAIRIE PKWY, STE 302
CEDAR FALLS, IA 50613
Family Medicine
5100 PRAIRIE PKWY, STE 301
CEDAR FALLS, IA 50613
Nurse Practitioner (Family)
5100 PRAIRIE PKWY, STE 301
CEDAR FALLS, IA 50613
Pharmacist
5100 PRAIRIE PKWY, SUITE 106
CEDAR FALLS, IA 50613
Physical Therapist
5100 PRAIRIE PKWY, SUITE 104
CEDAR FALLS, IA 50613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487639712, enumerated as an "individual" on December 09, 2005.

The provider is located at 5100 PRAIRIE PKWY STE 203 CEDAR FALLS, IA 50613 and the phone number is (319) 222-2903.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medica, Wellmark, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.