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JUSTIN SWENEY
NPI 1790479194
Nurse Practitioner - Family in Carmel, IN

Active since June 07, 2023PECOS Enrolled
13250 HAZEL DELL PKWY STE 104, CARMEL, IN 46033(317) 415-6900 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2024, Nov 5, 2024, Jun 7, 2023 (3 updates tracked since 2023).

About Justin Sweney NPPES

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

JUSTIN SWENEY (NPI 1790479194) is an individual family provider in Carmel, Indiana, licensed in Indiana (71014035A) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790479194
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUSTIN SWENEY
Location Address13250 HAZEL DELL PKWY STE 104Carmel, IN 46033-8527
Mailing Address13250 Hazel Dell Pkwy Ste 104Carmel, IN 46033-8527
Phone(317) 415-6900
Sole ProprietorYes
Enumeration DateJune 7, 2023
Last NPPES UpdateAugust 21, 20253 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1790479194 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
Licenses✔ Licensed in IN · 71014035A✔ Licensed in IN · F05230867
13250 HAZEL DELL PKWY STE 104, Carmel, IN 46033
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1429 E Vermont St Ste 110Indianapolis, IN 46202-3685 · Phone (812) 508-4855
Location 29761 Crosspoint Blvd Ste 500Indianapolis, IN 46256-3800 · Phone (317) 516-5172

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Sweney 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 Reassignments

2

Medicare enrollment records show Justin Sweney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

My Mobile MD Psychiatric Services LLC
15 mi
Psychiatry
429 E VERMONT ST STE 110
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 29 clinicians in this Medicare group
NPI 1528712452 (317) 559-0950
My Mobile MD LLC
15 mi
Family Medicine
429 E VERMONT ST STE 110
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 45 clinicians in this Medicare group
NPI 1225495716 (317) 559-0950

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 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
1,611 services206 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
465 services128 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
66 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46033 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 10

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

ST. VINCENT MEDICAL GROUP, INC.
Clinic/Center (Urgent Care)
13250 HAZEL DELL PKWY STE 104
CARMEL, IN 46033
Hamilton County (317) 415-6900
HEATHER RAE SCHUMANN MD
Family Medicine
13250 HAZEL DELL PKWY STE 104
CARMEL, IN 46033
Hamilton County (317) 415-6900
JACQUELINE SUZANNE BUTLER FNP
Nurse Practitioner (Family)
13250 HAZEL DELL PKWY STE 104
CARMEL, IN 46033
Hamilton County (317) 415-6900
RINESH PATEL NP
Nurse Practitioner (Family)
13250 HAZEL DELL PKWY STE 104
CARMEL, IN 46033
Hamilton County (317) 415-6900
CATHERINE E BROACH MD
Family Medicine
13250 HAZEL DELL PKWY STE 104
CARMEL, IN 46033
Hamilton County (317) 415-6900
SHEKAR M PUSHPALA M.D.
Family Medicine
13250 HAZEL DELL PKWY STE 104
CARMEL, IN 46033
Hamilton County (317) 415-6900
KARIN C HENDERSON PA
Physician Assistant
13250 HAZEL DELL PKWY STE 104
CARMEL, IN 46033
Hamilton County (317) 415-6117
VERA A SHREDER MD
Family Medicine
13250 HAZEL DELL PKWY STE 104
CARMEL, IN 46033
Hamilton County (317) 415-6900

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 Justin Sweney's NPI number?

The NPI number for Justin Sweney is 1790479194. It was assigned to this individual provider in the NPPES registry on June 7, 2023.

Where is Justin Sweney located?

Justin Sweney practices at 13250 Hazel Dell Pkwy Ste 104, Carmel, IN 46033. The listed phone number is (317) 415-6900.

What is Justin Sweney's specialty?

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

Is Justin Sweney enrolled in Medicare?

Yes. Justin Sweney is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justin Sweney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Sweney reassigns Medicare benefits to 2 organizations: My Mobile MD Psychiatric Services LLC (Indianapolis, IN) and My Mobile MD LLC (Indianapolis, IN). 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 Justin Sweney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Sweney accept?

Health plans from Anthem Blue Cross and Blue Shield list Justin Sweney 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 Justin Sweney was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.