Active NPI
Lee Schwieterman, CNP
- Gerontology Nurse Practitioner
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN.CNP.15990
- Practice address
- 3533 Southern Blvd Ste 5650
Kettering, OH 45429-1263 - Phone
- (937) 294-3611
- Fax
- (937) 294-9010
- NPI assigned
- Aug 25, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | COA.15990-NP | OH | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.15990 | OH | Primary |
Addresses
Primary practice location
3533 Southern Blvd Ste 5650
Kettering, OH 45429-1263
Mailing address
3533 Southern Blvd Ste 5650
Kettering, OH 45429-1263
Phone (937) 294-3611
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lschwieterman634735@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3533 Southern Blvd
Suite 5650
Kettering, OH 45429-1263
Phone (937) 294-3611
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
Hospital & facility affiliations
- Kettering Health Main Campus
- Kettering Health Dayton
- Soin Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.15990-NP | OH | MD | Acute Care Nurse Practitioner |
| APRN.CNP.15990 | OH | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Current | Accepting new patients |
Locations
3533 Southern Blvd
Ste 5650
Kettering, OH 45429
Phone (937) 294-3611
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
3535 Southern Blvd
#1E
Kettering, OH 45429
Phone (937) 395-8124
3533 Southern Blvd
Ste 5350
Kettering, OH 45429
Phone 9376439299 ext. 93764
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1141 N Monroe Dr
Xenia, OH 45385
Phone (937) 352-2000
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1275933574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 SOUTHERN BLVD STE 5650",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291263",
"telephone_number": "937-294-3611",
"fax_number": "937-294-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 SOUTHERN BLVD STE 5650",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291263",
"telephone_number": "937-294-3611",
"fax_number": "937-294-9010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWIETERMAN",
"first_name": "LEE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-25",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "COA.15990-NP",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "APRN.CNP.15990",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lschwieterman634735@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3533 Southern Blvd Ste 5650",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291263",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3533 Southern Blvd Ste 5650",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291263",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.