Active NPI
Jean Ann Swartz, R.N.
- Adult Health Nurse Practitioner
- Gloucester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0024182261
- Practice address
- 7544 Hospital Dr Ste 202
Gloucester, VA 23061-4178 - Phone
- (804) 694-5553
- Fax
- (804) 694-8232
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 366248 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 302690 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 0024182261 | VA | Primary |
Addresses
Primary practice location
7544 Hospital Dr Ste 202
Gloucester, VA 23061-4178
Mailing address
856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800
Other practice location 1
23 E Bartlett Rd
Middle Island, NY 11953-1808
Phone (631) 924-4296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01730116 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 E Main St
2 North
Bay Shore, NY 11706-8408
Phone (631) 968-3293
Hospital & facility affiliations
- NS/Lij HS Southside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 366248 | NY | MD | Registered Nurse |
| 0024182261 | VA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peconic Bay Primary Medical Care | Current | Accepting new patients | |
| Central Suffolk Hospital | Current | Accepting new patients | |
| Central Suffolk Hosptial | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients |
Locations
301 E Main St
#2N
Bay Shore, NY 11706
Phone (631) 968-3293
300 Community Dr
Plandome, NY 11030
1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000
34 Commerce Ave
Riverhead, NY 11901
Phone (631) 591-3000
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jean.swartz@direct.stonybrookmedicine.edu
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- jeanswartz@nslijmedgr.allscriptsdirect.net
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Hospitalist Physician
- Riverhead, NY
- NPI 1043402050
-
- Internal Medicine Physician
- Mattituck, NY
- NPI 1487620613
-
- Nurse Practitioner
- Riverhead, NY
- NPI 1841637741
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1043356744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD STE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "757-316-5800",
"fax_number": "757-534-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7544 HOSPITAL DR STE 202",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230614178",
"telephone_number": "804-694-5553",
"fax_number": "804-694-8232"
}
],
"practiceLocations": [
{
"address_1": "23 E Bartlett Rd",
"address_purpose": "LOCATION",
"city": "Middle Island",
"state": "NY",
"postal_code": "119531808",
"country_code": "US",
"telephone_number": "631-924-4296",
"fax_number": "631-924-9787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWARTZ",
"first_name": "JEAN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "366248",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "302690",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024182261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01730116",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gloucester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.