Active NPI
Nancy Ann Swenson, DC
- Chiropractor
- Stillwater, MN
National Provider Identifier
1114079431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC3791
- Practice address
- 333 Main St N Ste 203
Stillwater, MN 55082-5054 - Phone
- (651) 430-0018
- NPI assigned
- Jan 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC3791 | MN | Primary |
Addresses
Primary practice location
333 Main St N Ste 203
Stillwater, MN 55082-5054
Mailing address
5082 Marquess Trail CT N
Lake Elmo, MN 55042-4403
Phone (651) 351-2030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
315 E River Rd
Brainerd, MN 56401-3503
Phone (218) 454-5483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC3791 | MN | MD | Chiropractor |
| 3791 | MN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Well Chiropractic | Chiropractor | Current | Accepting new patients |
| Wildenauer Chiropractic Clinic LTD | Chiropractor | Past | Accepting new patients |
| Rainbow of Health Physical Therapy, Inc. | Past | Accepting new patients | |
| IHS Midwest PC | Chiropractor | Past | Accepting new patients |
| Midway Healthcare Services PA | Chiropractor | Past | Accepting new patients |
| Stillwater Family Chiropractic Center, Inc. | Past | Accepting new patients | |
| Back in Balance Chiropractic, PA | Chiropractor | Past | Accepting new patients |
Organizations & group practices 8
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.
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- Chiropractor
- Stillwater, MN
- NPI 1245440502
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- Chiropractor
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- NPI 1841204534
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- Physical Therapist
- Brainerd, MN
- NPI 1477650331
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- Health Maintenance Organization
- Stillwater, MN
- NPI 1841465515
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- Chiropractor
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- NPI 1306061155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114079431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5082 MARQUESS TRAIL CT N",
"city": "LAKE ELMO",
"state": "MN",
"postal_code": "550424403",
"telephone_number": "651-351-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 MAIN ST N STE 203",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550825054",
"telephone_number": "651-430-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWENSON",
"first_name": "NANCY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "DC3791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.