Individual provider Active NPI

Terri Leigh Swan, APRN

  • Family Nurse Practitioner
  • Mount Vernon, OH
National Provider Identifier
1124616024
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020038204 Issued in OH
Practice address
2899 Berger Rd
Mount Vernon, OH 43050-9447
Phone
(740) 815-3971
NPI assigned
Jan 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 2020038204 OH Primary

Addresses

Primary practice location

2899 Berger Rd
Mount Vernon, OH 43050-9447

Mailing address

2899 Berger Rd
Mount Vernon, OH 43050-9447
Phone (740) 815-3971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210311002059 OH Practitioner - Nurse Practitioner 1254747561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5300 N Meadows Dr
Grove City, OH 43123-2546
Phone (614) 663-3877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2020038204OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Knox Community Hospital CurrentSince Oct 31, 2022 Accepting new patients
Mount Carmel Healthproviders Two LLC Single Specialty CurrentSince Apr 15, 2024 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Apr 15, 2024 Accepting new patients
Knox Community Hospital Single Specialty CurrentSince Oct 31, 2022 Accepting new patients

Locations

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

1330 Coshocton Ave
Fl 5
Mount Vernon, OH 43050
Phone (740) 393-9040

Interoperability endpoints

  • Direct secure messaging: tswan1149504@direct.trinity-health.org

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": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1124616024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2899 BERGER RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509447",
            "telephone_number": "740-815-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2899 BERGER RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509447",
            "telephone_number": "740-815-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "TERRI",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "2020038204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

Verify at the official NPI Registry.