CLARE M SWEENEY CNP
NPI 1700438223
Nurse Practitioner - Acute Care in Columbus, OH

Active since July 15, 2019PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
395 W 12TH AVE, COLUMBUS, OH 43210(614) 293-8315(614) 293-6935 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2025, Jul 15, 2019 (2 updates tracked since 2019).

About Clare M Sweeney Cnp NPPES

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

CLARE M SWEENEY CNP (NPI 1700438223) is an individual acute care provider in Columbus, Ohio, licensed in Ohio (RN.381022) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1700438223
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCLARE M SWEENEYCredential: CNP
Location Address395 W 12TH AVEColumbus, OH 43210-1267
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-8315 · Fax (614) 293-6935
Fax(614) 293-6935
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 15, 2019
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
NPI 1700438223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in OH · RN.381022
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.025222 (OH)
395 W 12TH AVE, Columbus, OH 43210

Secondary Practice Location 1

Location 13555 Olentangy River Rd Ste 1080Columbus, OH 43214-3984 · Phone (614) 268-8164 · Fax (614) 268-8406

Accepted 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

Clare M Sweeney Cnp 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 ID5799013215
PECOS Enrollment IDI20190822000321
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

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
47 services43 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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.

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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
395 W 12TH AVE
COLUMBUS, OH 43210
Radiology (Vascular & Interventional Radiology)
395 W 12TH AVE
COLUMBUS, OH 43210
Radiology (Diagnostic Radiology)
395 W 12TH AVE
COLUMBUS, OH 43210
Radiology (Diagnostic Radiology)
395 W 12TH AVE
COLUMBUS, OH 43210
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE
COLUMBUS, OH 43210
Radiology (Diagnostic Radiology)
395 W 12TH AVE
COLUMBUS, OH 43210
Radiology (Diagnostic Radiology)
395 W 12TH AVE
COLUMBUS, OH 43210
Surgery
395 W 12TH AVE
COLUMBUS, OH 43210

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 Clare Sweeney's NPI number?

The NPI number for Clare Sweeney is 1700438223. It was assigned to this individual provider in the NPPES registry on July 15, 2019.

Where is Clare Sweeney located?

Clare Sweeney practices at 395 W 12th Ave, Columbus, OH 43210. The listed phone number is (614) 293-8315.

What is Clare Sweeney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Clare Sweeney enrolled in Medicare?

Yes. Clare Sweeney 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 Clare Sweeney accept?

Health plans from CareSource list Clare Sweeney 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 Clare Sweeney affiliated with any hospitals?

According to CMS data, Clare Sweeney is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Clare Sweeney was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.