DR. NANCY KAY SWEITZER MD
NPI 1619938081
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Saint Louis, MO

Q: What is Nancy Sweitzer's NPI number?

The NPI number for Nancy Sweitzer is 1619938081. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is Nancy Sweitzer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Sweitzer was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 March 28, 2006PECOS EnrolledAccepts Medicare Assignment

79.29/100

CMS Quality Rating

1020 N MASON RD, DIV IM CARDIOLOGY, STE 100, SAINT LOUIS, MO 63141(314) 362-1291(314) 362-4278 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Mar 29, 2023 and 1 more (4 updates tracked since 2022).

On this page

About Dr. Nancy Kay Sweitzer Md NPPES

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

DR. NANCY KAY SWEITZER MD (NPI 1619938081) is an individual advanced heart failure and transplant cardiology provider in Saint Louis, Missouri, licensed in Missouri (2022027883) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1993).

NPPES Registry Identity

NPI1619938081

Entity TypeIndividualFemale

Primary Taxonomy207RA0001X

Provider Legal NameDR. NANCY KAY SWEITZERCredential: MD

Location Address1020 N MASON RD, DIV IM CARDIOLOGY, STE 100Saint Louis, MO 63141-6666

Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-1291 · Fax (314) 362-4278

Phone(314) 362-1291

Fax(314) 362-4278

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1993

Enumeration DateMarch 28, 2006

Last NPPES UpdateApril 17, 20254 updates tracked since enumeration

✔ NPI 1619938081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RA0001X

License✔ Licensed in MO · 2022027883

Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2022027883 (MO)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 2022027883 (MO)

1020 N MASON RD, Saint Louis, MO 63141

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Other Identifiers 1

Medicaid200114737MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.Insurance ›

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

Dr. Nancy Kay Sweitzer Md 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 ID941224075

PECOS Enrollment IDI20220921002463

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 2

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

150 services39 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

44 services25 patients

Hospital Affiliations CMS Care Compare

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260032

LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

79.29/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.46

Promoting Interoperability

100

Improvement Activities

Cost

59.51

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.

HEART CARE INSTITUTE AFFILIATED SERVICES, LLC

Clinic/Center (Rehabilitation, Cardiac Facilities)

1020 N MASON RD, SUITE 200
CREVE COEUR, MO 63141

St. Louis County (314) 996-3140

HEART CARE INSTITUTE AFFILIATED SERVICES, LLC

Clinic/Center (Rehabilitation, Cardiac Facilities)

1020 N MASON RD, SUITE 200
CREVE COEUR, MO 63141

St. Louis County (314) 996-3140

HEART CARE INSTITUTE LLC

Clinic/Center (Rehabilitation, Cardiac Facilities)

1020 N MASON RD, SUITE 130
CREVE COEUR, MO 63141

St. Louis County (314) 996-3110

DR. LYNNE M SEACORD MD

Internal Medicine (Cardiovascular Disease)

1020 N MASON RD
SAINT LOUIS, MO 63141

St. Louis County (314) 362-1291

DR. MARK R MILUNSKI MD

Internal Medicine (Cardiovascular Disease)

1020 N MASON RD, DIV IM CARDIOLOGY, STE 100
SAINT LOUIS, MO 63141

St. Louis County (314) 362-1291

MRS. GAIL CHRISTINE CROFTON R.D., L.D., CDE

Dietitian, Registered

1020 N MASON RD, PROFESSIONAL BUILDING 3, SUITE 200
CREVE COEUR, MO 63141

St. Louis County (314) 996-8039

MRS. DAWN M SANDER ANP

Nurse Practitioner (Adult Health)

1020 N MASON RD, DIV SURG VASCULAR, STE 225
SAINT LOUIS, MO 63141

St. Louis County (314) 273-7373

DR. KORY JOSHUA LAVINE MD

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

1020 N MASON RD, DIV IM CARDIOLOGY, STE 100
SAINT LOUIS, MO 63141

St. Louis County (314) 362-1291

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 Nancy Sweitzer's NPI number?

The NPI number for Nancy Sweitzer is 1619938081. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Nancy Sweitzer located?

Nancy Sweitzer practices at 1020 N Mason Rd Div Im Cardiology, Ste 100, Saint Louis, MO 63141. The listed phone number is (314) 362-1291.

What is Nancy Sweitzer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Nancy Sweitzer enrolled in Medicare?

Yes. Nancy Sweitzer 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.

What insurance does Nancy Sweitzer accept?

Health plans from Cox HealthPlans list Nancy Sweitzer 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.

Is Nancy Sweitzer affiliated with any hospitals?

According to CMS data, Nancy Sweitzer is affiliated with Barnes Jewish Hospital.

When was this NPI record last updated?

The NPPES record for Nancy Sweitzer was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.