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SWAPNIMA SHRESTHA DMD
NPI 1861946709
Dentist in Lewistown, PA

Active since August 09, 2016PECOS Enrolled
106 DERRY HEIGHTS BLVD, LEWISTOWN, PA 17044(717) 248-9900(717) 248-9910 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 16, 2019, May 3, 2019, Jun 12, 2017 and 1 more (4 updates tracked since 2016).

About Swapnima Shrestha Dmd NPPES

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

SWAPNIMA SHRESTHA DMD (NPI 1861946709) is an individual dentist in Lewistown, Pennsylvania, licensed in Pennsylvania (DS040924) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861946709
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSWAPNIMA SHRESTHACredential: DMD
Location Address106 DERRY HEIGHTS BLVDLewistown, PA 17044-8604
Mailing Address100 Shenango AveSharon, PA 16146-1503 · (717) 248-9900 · Fax (717) 248-9910
Phone(717) 248-9900
Fax(717) 248-9910
Sole ProprietorNo
Enumeration DateAugust 9, 2016
Last NPPES UpdateAugust 16, 20194 updates tracked since enumeration
✔ NPI 1861946709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS040924
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
106 DERRY HEIGHTS BLVD, Lewistown, PA 17044
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Other Identifiers 6

Medicaid1031183840006PA
Medicaid1031183840005PA
Medicaid1031183840003PA
Medicaid1031183840004PA
Medicaid1031183840007PA
Medicaid1031183840002PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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)

Swapnima Shrestha Dmd 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 Swapnima Shrestha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Health Network
45 mi
Federally Qualified Health Center (FQHC)
620 HOWARD AVE
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 164 clinicians in this Medicare group
NPI 1063641470 (814) 942-5000

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 17044 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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 6

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

PRIMARY HEALTH NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
106 DERRY HEIGHTS BLVD
LEWISTOWN, PA 17044
Mifflin County (717) 447-0340
KLAYTON RYAN HEFFNER PTA
Physical Therapy Assistant
106 DERRY HEIGHTS BLVD
LEWISTOWN, PA 17044
Mifflin County (717) 363-9077
KYLE SWINEFORD
Physician Assistant
106 DERRY HEIGHTS BLVD
LEWISTOWN, PA 17044
Mifflin County (717) 363-9077
DR. KIMBERLY J. MANGANARO M.D.
Family Medicine
106 DERRY HEIGHTS BLVD
LEWISTOWN, PA 17044
Mifflin County (717) 363-9077
CELESTE ARLEEN REESE RDH
Dental Hygienist
106 DERRY HEIGHTS BLVD
LEWISTOWN, PA 17044
Mifflin County (717) 248-9900
PATRICIA LOGAN FARLEY DO
Family Medicine
106 DERRY HEIGHTS BLVD
LEWISTOWN, PA 17044
Mifflin County (717) 447-0340

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 Swapnima Shrestha's NPI number?

The NPI number for Swapnima Shrestha is 1861946709. It was assigned to this individual provider in the NPPES registry on August 9, 2016.

Where is Swapnima Shrestha located?

Swapnima Shrestha practices at 106 Derry Heights Blvd, Lewistown, PA 17044. The listed phone number is (717) 248-9900.

What is Swapnima Shrestha's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Swapnima Shrestha enrolled in Medicare?

Yes. Swapnima Shrestha is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Swapnima Shrestha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swapnima Shrestha reassigns Medicare benefits to Primary Health Network (Altoona, PA). 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 Swapnima Shrestha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Swapnima Shrestha accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and BEST Life and 11 other insurers list Swapnima Shrestha 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 Swapnima Shrestha was last updated on August 16, 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.