Active NPI
Elizabeth A Swanson, M.D.
- Pediatric Dermatology Physician
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dermatology Physician
- License
- 49108
- Practice address
- 1618 S Millenium Way Ste 100
Meridian, ID 83642-6457 - Phone
- (208) 884-3376
- Fax
- (208) 884-0858
- NPI assigned
- Feb 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dermatology Physician | 207NP0225X | M15214 | ID | |
| Pediatric Dermatology Physician | 207NP0225X | 49108 | CO | Primary |
Addresses
Primary practice location
1618 S Millenium Way Ste 100
Meridian, ID 83642-6457
Mailing address
1618 S Millenium Way Ste 100
Meridian, ID 83642-6457
Phone (208) 884-3376
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48703737 | Medicaid | CO | |
| 305413000 | Medicaid | MN | |
| P00405227 | Other | MN | MEDICARE RAILROAD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eswanson@adawest.emadirect.md |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Tulane University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1618 S Millenium Way
Suite 100
Meridian, ID 83642-6457
Phone (208) 884-3376
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.64 of 100
- Quality
- 70.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 55.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49108 | CO | MD | Pediatric Dermatology Physician |
| M15214 | ID | MD | Pediatric Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ada West Dermatology, PC | Dermatology | Current | Accepting new patients |
Locations
3100 E Barber Valley Dr
Boise, ID 83716
Phone (208) 884-3376
1618 S Millenium Way
Ste 100
Meridian, ID 83642
Phone (208) 884-3376
4574 N Ten Mile Rd
Ste 120
Meridian, ID 83646
Phone (208) 884-3376
1618 S Millenium Way
Ste 101
Meridian, ID 83642
Phone (208) 884-4647
Organizations & group practices 2
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.
-
- Dermatology Physician
- Meridian, ID
- NPI 1518973338
-
- Dermatology Physician
- Aurora, CO
- NPI 1134170012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1174596951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 S MILLENIUM WAY STE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426457",
"telephone_number": "208-884-3376",
"fax_number": "208-884-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 S MILLENIUM WAY STE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836426457",
"telephone_number": "208-884-3376",
"fax_number": "208-884-0858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "ID",
"license": "M15214",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "CO",
"license": "49108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48703737",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305413000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00405227",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eswanson@adawest.emadirect.md",
"affiliation": "N",
"address_1": "1618 S Millenium Way Ste 101",
"city": "Meridian",
"state": "ID",
"country_code": "US",
"postal_code": "836426457",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.