Jon Swanson, D.O., PH.D.
Individual provider Active NPI Family Medicine Physician · Audubon, IA
NPI 1124408299 · NPPES record last updated Jul 19, 2024
Key facts
- NPI
- 1124408299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO-06208 (IA)
- Practice address
- PO Box 27
Audubon, IA 50025-0027 - Phone
- (712) 304-2282
- NPI assigned
- Jun 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Owned or controlled facilities with NPI records 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NE, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Accura Healthcare of North Platte |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Apr 1, 2025 Apr 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201212000194 | NE | Practitioner - Family Practice | 2860773801 | Reassigns benefits to 1 organization |
| I20221205000348 | IA | Practitioner - Family Practice | 2860773801 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-06208 | IA | MD | Family Medicine Physician |
| 2335 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Platte Nebraska Hospital Corporation | Current |
Accepting new patients | |
| North Platte Nebraska Hospital Corporation | Current | Accepting new patients |
Locations
500 W Leota St
Ste 100
North Platte, NE 69101
Phone (308) 534-4440
601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288
Interoperability endpoints
- jswanson258880@uihcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS019299 | PA | |
| Family Medicine Physician | 207Q00000X | 2335 | NE | |
| Family Medicine Physician | 207Q00000X | DO-06208 | IA | Yes |
Addresses
Primary practice location
PO Box 27
Audubon, IA 50025-0027
Mailing address
PO Box 27
Audubon, IA 50025-0027
Phone (712) 304-2282
Other providers in Audubon, IA
- Mindi Jo Rotert
- Paul Richard Schultz
- Shopko Stores Operating Co LLC
- George Smith
- Terry L Sprague
- T L Sprague DO PC
- Touching Lives Center, LLC
- Stephanie Vampola-Runyan
- Vivian D Chance Arnp LLC
- Kimberly Ann Vollstedt
All providers in Audubon, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.