ASHLEY LYNN SWARTZ NP-C
NPI 1528601739
Nurse Practitioner - Primary Care in Bedford, PA

Active since October 21, 2019PECOS EnrolledAccepts Medicare Assignment
9528 LINCOLN HWY STE 1, BEDFORD, PA 15522(814) 310-5409(814) 310-5410 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2023, Jan 28, 2021, Oct 21, 2019 (3 updates tracked since 2019).

About Ashley Lynn Swartz Np-c NPPES

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

ASHLEY LYNN SWARTZ NP-C (NPI 1528601739) is an individual primary care provider in Bedford, Pennsylvania, licensed in Pennsylvania (SP020774) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Conemaugh Memorial Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1528601739
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameASHLEY LYNN SWARTZCredential: NP-C
Location Address9528 LINCOLN HWY STE 1Bedford, PA 15522-3764
Mailing Address9528 Lincoln Hwy Ste 1Bedford, PA 15522-3764 · (814) 310-5409 · Fax (814) 310-5410
Fax(814) 310-5410
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 21, 2019
Last NPPES UpdateMay 23, 20233 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
NPI 1528601739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in PA · SP020774
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License SP027464 (PA)
9528 LINCOLN HWY STE 1, Bedford, PA 15522

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

Ashley Lynn Swartz Np-c 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 ID1254765985
PECOS Enrollment IDI20200106000156
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 6

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.
74 services40 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
62 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services35 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
30 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15522 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Family Medicine
9528 LINCOLN HWY STE 1
BEDFORD, PA 15522
Family Medicine
9528 LINCOLN HWY STE 1
BEDFORD, PA 15522
Social Worker (Clinical)
9528 LINCOLN HWY STE 1
BEDFORD, PA 15522

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 Ashley Swartz's NPI number?

The NPI number for Ashley Swartz is 1528601739. It was assigned to this individual provider in the NPPES registry on October 21, 2019.

Where is Ashley Swartz located?

Ashley Swartz practices at 9528 Lincoln Hwy Ste 1, Bedford, PA 15522. The listed phone number is (814) 310-5409.

What is Ashley Swartz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Ashley Swartz enrolled in Medicare?

Yes. Ashley 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.

Is Ashley Swartz affiliated with any hospitals?

According to CMS data, Ashley Swartz is affiliated with Conemaugh Memorial Medical Center and Upmc Bedford Memorial.

When was this NPI record last updated?

The NPPES record for Ashley Swartz was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.