Individual provider Active NPI

Kimberly R Swigert, PA-C

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1639265002
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000685A Issued in IN
Practice address
1701 Senate Blvd
Room 1204a
Indianapolis, IN 46202-1239
Phone
(317) 962-6793
Fax
(317) 962-8281
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000685A IN Primary

Addresses

Primary practice location

1701 Senate Blvd
Room 1204a
Indianapolis, IN 46202-1239

Mailing address

250 N Shadeland Ave
Suite 130
Indianapolis, IN 46219-4959
Phone (317) 963-0860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209000023 IN Practitioner - Physician Assistant 8224094487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Associates LLCGroup PAC ID 5799876678, 6 clinicians
Linke Robotics LLCGroup PAC ID 1254856503, 4 clinicians

Practice addresses (Care Compare)

141 W 22ND St
Suite 213
Anderson, IN 46016-4389
Phone (765) 289-7444

7920 W Jefferson Blvd
Suite 200
Fort Wayne, IN 46804-4166
Phone (630) 346-1638

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates, LLC CurrentSince Feb 28, 2023 Accepting new patients
Indiana University Health North Hospital, Inc Past Accepting new patients
Indiana Radiology Partners, Inc Past Accepting new patients

Locations

1210 Medical Arts Blvd
Ste 206A
Anderson, IN 46011

1210 Medical Arts Blvd
Ste 206
Anderson, IN 46011
Phone (765) 298-4090

2525 W University Ave
Ste 504
Muncie, IN 47303
Phone (765) 289-7127

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1639265002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "address_2": "SUITE 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959",
            "telephone_number": "317-963-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SENATE BLVD",
            "address_2": "ROOM 1204A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-6793",
            "fax_number": "317-962-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIGERT",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000685A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.