Theresa J. Swenson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001620 Issued in IA

Practice address

2730 Pierce St Ste 300
Sioux City, IA 51104-3765

Phone

(712) 224-8677

NPI assigned

Jul 7, 2005

Last updated

Oct 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Theresa J. Johnson Other name

Medicare fee-for-service enrollment

Enrolled in IA, NE, SD3 enrollments

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 3

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cnos PCGroup PAC ID 4284548942, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Floyd Valley Healthcare Hospital, Le Mars, IA, CCN 161368
• Dunes Surgical Hospital Hospital, Dakota Dunes, SD, CCN 430089
• St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146

Merit-based Incentive Payment System (MIPS)

Final score

87.86 of 100Reported as group

Quality

81.95

Promoting interoperability

100

Improvement activities

40

Cost

77.6

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

82.54

Promoting interoperability

89.05

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tgallo125429@uihcdirect.org
• Direct secure messaging: theresaswenson@cnos.allscriptsdirect.net

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.

• Cnos PC

  • Orthopaedic Surgery Physician
  • Dakota Dunes, SD
  • NPI 1881604320

  IA, NE

  Medicare reassignment Care Compare group NPD
• Clarinda Regional Health Center

  dba Clarinda Medical Associates

  • Family Medicine Physician
  • Clarinda, IA
  • NPI 1629196241
  Medicare reassignment NPD
• Cnos, PC

  • Orthopaedic Surgery Physician
  • South Sioux City, NE
  • NPI 1750047304
  NPD

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

• Floyd Valley Healthcare

  • Critical Access Hospital
  • Le Mars, IA
  • NPI 1326109315
  Care Compare affiliation
• Northwest Iowa Hospital Corporation

  dba St Lukes Regional Medical Center

  • General Acute Care Hospital
  • Sioux City, IA
  • NPI 1962594622
  Care Compare affiliation
• Siouxland Surgery Center Limited Liability Partnership

  dba Dunes Surgical Hospital

  • Special Hospital
  • Dakota Dunes, SD
  • NPI 1093714073
  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1093713794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST STE 300",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043765",
            "telephone_number": "712-244-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PIERCE ST STE 300",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511043765",
            "telephone_number": "712-224-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "THERESA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P002085832",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "JOHNSON",
            "middle_name": "J.",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physician Assistant in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.

Verify at the official NPI Registry.