Individual provider Active NPI

Lynn Swanson, APRN

  • Nurse Practitioner
  • Berlin, CT
National Provider Identifier
1073082343
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7948 Issued in CT
Practice address
534 Toll Gate Rd
Berlin, CT 06037-4007
Phone
(860) 916-9124
NPI assigned
Nov 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7948 CT Primary

Addresses

Primary practice location

534 Toll Gate Rd
Berlin, CT 06037-4007

Mailing address

534 Toll Gate Rd
Berlin, CT 06037-4007
Phone (860) 916-9124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20190122003141 CT Practitioner - Nurse Practitioner 2961749486 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivid Aesthetics and Wellness PLLCGroup PAC ID 9133656531, 2 clinicians
Step Up Care PC LLCGroup PAC ID 5496088346, 176 clinicians

Practice addresses (Care Compare)

110 Court St
Suite 2B
Cromwell, CT 06416-1273
Phone (860) 740-2016

34 Wildwood Ave
Madison, CT 06443-2102
Phone (718) 298-4375

Merit-based Incentive Payment System (MIPS)

Final score
87.14 of 100Reported as group
Quality
71.85
Improvement activities
40
Cost
75.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7948CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Apr 1, 2023 Accepting new patients
Vivid Aesthetics & Wellness PLLC CurrentSince Nov 20, 2024 Accepting new patients
Harvest Healthcare LLC Nurse Practitioner CurrentSince Jan 4, 2023 Accepting new patients
Keystone Integrative Health LLC Nurse Practitioner Current Accepting new patients

Locations

21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182

110 Court St
Ste 2B
Cromwell, CT 06416
Phone (860) 740-2016

34 Wildwood Ave
Madison, CT 06443
Phone (203) 245-8008

89 Weid Dr
Naugatuck, CT 06770
Phone (203) 729-9889

261 Summit St
Plantsville, CT 06479
Phone (860) 628-0364

44 Abbott Ter
Waterbury, CT 06702
Phone (203) 755-4870

308 Savin Ave
West Haven, CT 06516
Phone (203) 932-6411

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

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.

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1073082343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 TOLL GATE RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060374007",
            "telephone_number": "860-916-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 TOLL GATE RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060374007",
            "telephone_number": "860-916-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2021-11-10",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "7948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, CT

Sources for this page

Verify at the official NPI Registry.