MS. KIMBERLY LEE-ANN SWARTZ RN
NPI 1497425169
Nurse Practitioner - Psychiatric/Mental Health in Troy, OH

Q: What is Kimberly Swartz's NPI number?

The NPI number for Kimberly Swartz is 1497425169. It was assigned to this individual provider in the NPPES registry on September 15, 2021. The provider is also known as Mrs. Kimberly Beard Aprn.

Q: What is Kimberly Swartz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Swartz was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 15, 2021PECOS EnrolledAccepts Medicare Assignment

110 S STANFIELD RD STE C, TROY, OH 45373(937) 787-6859 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2025, Oct 7, 2024, Jul 19, 2022 and 1 more (4 updates tracked since 2021).

On this page

About Ms. Kimberly Lee-ann Swartz Rn NPPES

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

MS. KIMBERLY LEE-ANN SWARTZ RN (NPI 1497425169) is an individual psychiatric/mental health provider in Troy, Ohio, licensed in Ohio (APRN.CNP.0031298) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497425169

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. KIMBERLY LEE-ANN SWARTZCredential: RN

Location Address110 S STANFIELD RD STE CTroy, OH 45373-3098

Mailing Address890 Crossbow LnTroy, OH 45373-6718 · (937) 681-6710

Phone(937) 787-6859

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 15, 2021

Last NPPES UpdateNovember 4, 20254 updates tracked since enumeration

NPPES CertifiedNovember 4, 2025

✔ NPI 1497425169 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 OH · APRN.CNP.0031298

110 S STANFIELD RD STE C, Troy, OH 45373

Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Kimberly Beard Aprn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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

Ms. Kimberly Lee-ann Swartz Rn 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 ID7113384975

PECOS Enrollment IDI20230609000447

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 Reassignments

Medicare enrollment records show Kimberly Swartz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rivers Edge Wellness, LLC

Same address

Psychiatric/Mental Health

110 S STANFIELD RD STE C
Troy, OH 45373

Reassigned Medicare billing, Ohio enrollment
3 clinicians in this Medicare group

NPI 1174385132 (937) 787-6859

Wellness Card LLC

22 mi

Mental Health (Including Community Mental Health Center)

1320 WOODMAN DR
Dayton, OH 45432

Reassigned Medicare billing, Ohio enrollment
17 clinicians in this Medicare group

NPI 1558678151 (937) 223-1781

Communikare Behavioral Health Services LLC

22 mi

Mental Health (Including Community Mental Health Center)

1320 WOODMAN DR
Dayton, OH 45432

Reassigned Medicare billing, Ohio enrollment
15 clinicians in this Medicare group

NPI 1003463456 (937) 223-1781

Psycho Social Therapies,ltd

173 mi

Clinical

23366 COMMERCE PARK STE 100B
Beachwood, OH 44122

Reassigned Medicare billing, Ohio enrollment
78 clinicians in this Medicare group

NPI 1750335261 (216) 292-2880

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.

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.

22 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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.

Other Providers at the Same Location NPPES 4

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

RIVERS EDGE WELLNESS, LLC

Nurse Practitioner (Psychiatric/Mental Health)

110 S STANFIELD RD STE C
TROY, OH 45373

Miami County (937) 787-6859

MRS. LAUREN MANNING LPC

Counselor (Mental Health)

110 S STANFIELD RD STE C
TROY, OH 45373

Miami County (937) 787-6859

ALICIA N WALLS APRN, FNP-C, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

110 S STANFIELD RD STE C
TROY, OH 45373

Miami County (937) 787-6859

AIMEE L SHANNON LICENSED SOCIAL WORK

Social Worker (Clinical)

110 S STANFIELD RD STE C
TROY, OH 45373

Miami County (937) 787-6859

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 Kimberly Swartz's NPI number?

The NPI number for Kimberly Swartz is 1497425169. It was assigned to this individual provider in the NPPES registry on September 15, 2021. The provider is also known as Mrs. Kimberly Beard Aprn.

Where is Kimberly Swartz located?

Kimberly Swartz practices at 110 S Stanfield Rd Ste C, Troy, OH 45373. The listed phone number is (937) 787-6859.

What is Kimberly Swartz's specialty?

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

Is Kimberly Swartz enrolled in Medicare?

Yes. Kimberly Swartz 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.

Which organizations bill Medicare for Kimberly Swartz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Swartz reassigns Medicare benefits to 4 organizations: Rivers Edge Wellness, LLC (Troy, OH), Wellness Card LLC (Dayton, OH), Communikare Behavioral Health Services LLC (Dayton, OH) and Psycho Social Therapies,ltd (Beachwood, OH). Each 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 Kimberly Swartz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Swartz accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Kimberly Swartz 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 Kimberly Swartz was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.