Individual provider Active NPI

Samantha Swan, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottdale, PA
National Provider Identifier
1013877273
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP036117 Issued in PA
Practice address
23 4TH Ave
Scottdale, PA 15683-2110
Phone
(412) 559-4880
NPI assigned
Nov 12, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP036117 PA Primary

Addresses

Primary practice location

23 4TH Ave
Scottdale, PA 15683-2110

Mailing address

23 4TH Ave
Scottdale, PA 15683-2110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251218001488 FL Practitioner - Nurse Practitioner 8426543331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Ashit K Vijapura MD PAGroup PAC ID 8527198555, 10 clinicians

Practice addresses (Care Compare)

802 W Dr Martin Luther King Jr Blvd
Suite D
Plant City, FL 33563-5105
Phone (813) 754-1496

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11043623FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashit K Vijapura MD PA CurrentSince Dec 1, 2025 Accepting new patients

Locations

802 W Dr Martin Luther King Jr Blvd
Ste D
Plant City, FL 33563
Phone (813) 707-9101

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.

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1013877273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 4TH AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 4TH AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832110",
            "telephone_number": "412-559-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "SAMANTHA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-11-12",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP036117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottdale, PA

Sources for this page

Verify at the official NPI Registry.