LILLY A MCSWEENY ANP
NPI 1992993547
Nurse Practitioner - Adult Health in Columbus, OH

Active since October 09, 2007PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
4845 KNIGHTSBRIDGE BLVD, SUITE 210, COLUMBUS, OH 43214(614) 538-1358(614) 538-1316 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lilly A Mcsweeny Anp NPPES

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

LILLY A MCSWEENY ANP (NPI 1992993547) is an individual adult health provider in Columbus, Ohio, licensed in Ohio (NP-09562) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1992993547
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLILLY A MCSWEENYCredential: ANP
Location Address4845 KNIGHTSBRIDGE BLVD, SUITE 210Columbus, OH 43214-2463
Mailing Address4845 Knightsbridge Blvd, Suite 210Columbus, OH 43214-2463 · (614) 538-1358 · Fax (614) 538-1316
Fax(614) 538-1316
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 9, 2007
Last NPPES UpdateJanuary 25, 2022
✔ NPI 1992993547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · NP-09562
4845 KNIGHTSBRIDGE BLVD, Columbus, OH 43214

Other Identifiers 1

Medicaid2834946OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lilly A Mcsweeny Anp 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 ID6406937135
PECOS Enrollment IDI20080118000346
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

4

Medicare enrollment records show Lilly Mcsweeny reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
3705 OLENTANGY RIVER RD, SUITE 100
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
Family
2245 N BANK DR
Columbus, OH 43220
  • Reassigned Medicare billing, Ohio enrollment
  • 43 clinicians in this Medicare group
Family
314 AGLER RD
Columbus, OH 43230
  • Reassigned Medicare billing, Ohio enrollment
  • 101 clinicians in this Medicare group
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Ohio enrollment
  • 80 clinicians in this Medicare group

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 43214 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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES 16

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

Plastic Surgery
4845 KNIGHTSBRIDGE BLVD
COLUMBUS, OH 43214
Urology
4845 KNIGHTSBRIDGE BLVD, STE 110
COLUMBUS, OH 43214
Specialist
4845 KNIGHTSBRIDGE BLVD
COLUMBUS, OH 43214
Family Medicine
4845 KNIGHTSBRIDGE BLVD, SUITE 220
COLUMBUS, OH 43214
Nurse Practitioner (Adult Health)
4845 KNIGHTSBRIDGE BLVD, SUITE 220
COLUMBUS, OH 43214
Plastic Surgery
4845 KNIGHTSBRIDGE BLVD, SUITE 230
COLUMBUS, OH 43214
Urology
4845 KNIGHTSBRIDGE BLVD, SUITE 200
COLUMBUS, OH 43214
Urology
4845 KNIGHTSBRIDGE BLVD, #100
COLUMBUS, OH 43214

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 Lilly Mcsweeny's NPI number?

The NPI number for Lilly Mcsweeny is 1992993547. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Lilly Mcsweeny located?

Lilly Mcsweeny practices at 4845 Knightsbridge Blvd Suite 210, Columbus, OH 43214. The listed phone number is (614) 538-1358.

What is Lilly Mcsweeny's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lilly Mcsweeny enrolled in Medicare?

Yes. Lilly Mcsweeny 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.

Which organizations bill Medicare for Lilly Mcsweeny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lilly Mcsweeny reassigns Medicare benefits to 4 organizations: Ohiohealth Corporation (Columbus, OH), Ayd - Value Based Services LLC (Columbus, OH), At Your Door Visiting Healthcare Services, LLC (Columbus, OH) and Provider Partners Care Management LP (Columbia, MD). 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 Lilly Mcsweeny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lilly Mcsweeny accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance and UnitedHealthcare list Lilly Mcsweeny 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 Lilly Mcsweeny was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.