Individual provider Active NPI

Matthew A Swanson, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1043442445
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01319 Issued in KS
Practice address
1100 N Saint Francis St
Ste 130
Wichita, KS 67214-2878
Phone
(316) 264-3505
Fax
(316) 264-0908
NPI assigned
Aug 18, 2009
Last updated
Feb 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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 15-01319 KS Primary

Addresses

Primary practice location

1100 N Saint Francis St
Ste 130
Wichita, KS 67214-2878

Mailing address

1100 N Saint Francis St
Ste 130
Wichita, KS 67214-2878
Phone (316) 264-3505

Other identifiers 1

IdentifierTypeStateIssuer
200616940AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20090909000470 KS Practitioner - Physician Assistant 1355496662 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians
Kansas Post Acute Medical Services 1 PAGroup PAC ID 1557634193, 58 clinicians

Practice addresses (Care Compare)

2727 N Rock Rd
Larksfield Place
Wichita, KS 67226-1142
Phone (316) 636-1000

633 E Main St
Maria Court
Mulvane, KS 67110-1781
Phone (316) 777-9917

719 N Klein Cir
Derby, KS 67037-7019
Phone (316) 260-4447

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-01319KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Kansas PA CurrentSince Mar 27, 2017 Accepting new patients

Locations

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1043442445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N SAINT FRANCIS ST",
            "address_2": "STE 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142878",
            "telephone_number": "316-264-3505",
            "fax_number": "316-264-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N SAINT FRANCIS ST",
            "address_2": "STE 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142878",
            "telephone_number": "316-264-3505",
            "fax_number": "316-264-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200616940A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.