Jeannette Lois Sweitzer, CRNP

Key facts

NPI

1053306647

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

R08333 (MD)

Practice address

22221 Westernport Rd SW
Westernport, MD 21562-2206

Phone

(301) 533-3300

Fax

(301) 533-3299

NPI assigned

Sep 20, 2005

Sex

Female

Sole proprietor

No

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tri-State Community Health Center, Inc Federally Qualified Health Center (FQHC) · Hancock, MD · NPI 1366491201
  Medicare reassignment Care Compare group NPD MD
• Tri-State Community Health Center, Inc Federally Qualified Health Center (FQHC) · Berkeley Springs, WV · NPI 1083055081
  Care Compare group NPD
• Tri-State Community Health Center, Inc Federally Qualified Health Center (FQHC) · Cumberland, MD · NPI 1457301939
  Care Compare group
• Tri-State Community Health Center, Inc Federally Qualified Health Center (FQHC) · Cumberland, MD · NPI 1467401372
  Care Compare group
• Tri-State Community Health Center, Inc Federally Qualified Health Center (FQHC) · McConnellsburg, PA · NPI 1932159464
  Care Compare group
• Frederick Health Hospital Inc General Acute Care Hospital · Frederick, MD · NPI 1538165527
  NPD (past)
• Western Maryland Health Care Corporation Federally Qualified Health Center (FQHC) · Bruceton Mills, WV · NPI 1679269807
  NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• War Memorial Hospital, Inc. Critical Access Hospital · Berkeley Springs, WV · NPI 1467450353
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Marymount University, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-State Community Health Center Inc (19 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Health War Memorial Hospital Hospital · Berkeley Springs, WV · CCN 511309

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 1, 2020.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1053306647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 MEMORIAL DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504343",
            "telephone_number": "301-533-3300",
            "fax_number": "301-533-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22221 WESTERNPORT RD SW",
            "city": "WESTERNPORT",
            "state": "MD",
            "postal_code": "215622206",
            "telephone_number": "301-533-3300",
            "fax_number": "301-533-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Rayloc Dr",
            "address_purpose": "LOCATION",
            "city": "Hancock",
            "state": "MD",
            "postal_code": "217501518",
            "country_code": "US",
            "telephone_number": "301-678-5187",
            "fax_number": "301-678-5797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1027 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "MD",
            "postal_code": "215504343",
            "country_code": "US",
            "telephone_number": "301-533-3300",
            "fax_number": "301-533-3299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Parkview Dr",
            "address_purpose": "LOCATION",
            "city": "Grantsville",
            "state": "MD",
            "postal_code": "215361086",
            "country_code": "US",
            "telephone_number": "844-652-8730",
            "fax_number": "301-533-3299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEITZER",
        "first_name": "JEANNETTE",
        "middle_name": "LOIS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R083333",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R08333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482501200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0035061000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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