Individual provider Active NPI

Kelsi Jeanette Jore Swanson, MD

  • Surgery Physician
  • Missoula, MT
National Provider Identifier
1164928271
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
73654 Issued in MT
Practice address
2819 Great Northern Loop Ste 200
Missoula, MT 59808-1750
Phone
(406) 542-7525
Fax
(406) 829-0661
NPI assigned
Apr 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD481377 PA
Surgery Physician 208600000X 73654 MT Primary

Addresses

Primary practice location

2819 Great Northern Loop Ste 200
Missoula, MT 59808-1750

Mailing address

PO Box 7817
Missoula, MT 59807-7817
Phone (406) 542-7525

Other identifiers 1

IdentifierTypeStateIssuer
15957727OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240910001714 MT Practitioner - General Surgery 0143682781 Reassigns benefits to 2 organizations
I20250927000119 MO Practitioner - General Surgery 0143682781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missoula Surgical Associates PLLCGroup PAC ID 7012820202, 3 clinicians
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

Practice addresses (Care Compare)

2819 Great Northern Loop
Suite 200
Missoula, MT 59808-1750
Phone (406) 542-7525

3250 Gordonville Rd
Suite 206
Cape Girardeau, MO 63703-5095
Phone (573) 331-4480

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183

Merit-based Incentive Payment System (MIPS)

Final score
86.68 of 100Reported as group
Quality
86.94
Improvement activities
40
Cost
73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73654MTMDSurgery Physician
MD481377PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Missoula Surgical Associates, PLLC Surgery CurrentSince Oct 15, 2024 Accepting new patients
Saint Francis Medical Center CurrentSince Sep 18, 2025 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Apr 1, 2025 Accepting new patients
Saint Francis Medical Center CurrentSince Sep 18, 2025 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
RCHP Billings - Missoula LLC Current Accepting new patients

Locations

3250 Gordonville Rd
Ste 384
Cape Girardeau, MO 63703
Phone (573) 331-5522

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

3250 Gordonville Rd
Ste 206
Cpe Girardeau, MO 63703
Phone (573) 331-4480

2835 Fort Missoula Rd
Ste 101
Missoula, MT 59804
Phone (406) 327-3920

1200 S Reserve St
Ste H
Missoula, MT 59801
Phone (406) 543-9200

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

2819 Great Northern Loop
Ste 200
Missoula, MT 59808
Phone (406) 542-7525

Interoperability endpoints

  • Direct secure messaging: kswanson113857@surescripts.sfmc.net
  • Direct secure messaging: kswanson81235@direct.phhs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1164928271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7817",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598077817",
            "telephone_number": "406-542-7525",
            "fax_number": "406-829-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 GREAT NORTHERN LOOP STE 200",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081750",
            "telephone_number": "406-542-7525",
            "fax_number": "406-829-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "KELSI",
        "middle_name": "JEANETTE JORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD481377",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MT",
            "license": "73654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15957727",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.