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KELLIE RENEE SWIM APRN
NPI 1518378371
Nurse Practitioner - Family in Tahlequah, OK

Active since May 14, 2014PECOS Enrolled
1500 E DOWNING ST STE 102, TAHLEQUAH, OK 74464(918) 207-0773(918) 207-0774 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2019, Nov 17, 2015 (2 updates tracked since 2015).

About Kellie Renee Swim Aprn NPPES

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

KELLIE RENEE SWIM APRN (NPI 1518378371) is an individual family provider in Tahlequah, Oklahoma, licensed in Oklahoma (74972) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Muskogee.

NPPES Registry Identity

NPI1518378371
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLIE RENEE SWIMCredential: APRN
Location Address1500 E DOWNING ST STE 102Tahlequah, OK 74464
Mailing AddressPo Box 751Hulbert, OK 74441-0751 · (918) 772-3390 · Fax (918) 431-0203
Phone(918) 207-0773
Fax(918) 207-0774
Sole ProprietorNo
Enumeration DateMay 14, 2014
Last NPPES UpdateJune 4, 20192 updates tracked since enumeration
✔ NPI 1518378371 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 OK · 74972
1500 E DOWNING ST STE 102, Tahlequah, OK 74464
Open in Google Maps ↗

Secondary Practice Location 1

Location 13505 W Broadway StMuskogee, OK 74401-2138 · Phone (918) 683-8442

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan 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 (PECOS)

Kellie Renee Swim Aprn 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 Kellie Swim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeastern Oklahoma Community Health Centers, Inc.
Same address
Federally Qualified Health Center (FQHC)
1500 E DOWNING ST STE 103
Tahlequah, OK 74464
  • Reassigned Medicare billing, Oklahoma enrollment
  • 65 clinicians in this Medicare group
NPI 1063188878 (918) 708-3580

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 74464 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 2

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

DR. KIMBERLY ANN MILFORD MD
Pediatrics
1500 E DOWNING ST STE 102
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0773
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1500 E DOWNING ST STE 102
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0773

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 Kellie Swim's NPI number?

The NPI number for Kellie Swim is 1518378371. It was assigned to this individual provider in the NPPES registry on May 14, 2014.

Where is Kellie Swim located?

Kellie Swim practices at 1500 E Downing St Ste 102, Tahlequah, OK 74464. The listed phone number is (918) 207-0773.

What is Kellie Swim's specialty?

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

Is Kellie Swim enrolled in Medicare?

Yes. Kellie Swim is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kellie Swim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Swim reassigns Medicare benefits to Northeastern Oklahoma Community Health Centers, Inc. (Tahlequah, OK). 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 Kellie Swim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kellie Swim accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Kellie Swim 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 Kellie Swim was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.