Lynn Swafford
Individual provider Active NPI Physician Assistant · Riverside, MO
NPI 1174918445 · NPPES record last updated Apr 2, 2015
Key facts
- NPI
- 1174918445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2014043323 (MO)
- Practice address
- 1805 NW Platte Rd
Riverside, MO 64150-9601 - Phone
- (816) 472-0400
- NPI assigned
- Apr 2, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Epiphany Dermatology of Missouri LLC
Practice addresses (Care Compare)
1805 NW Platte Rd
Suite 120
Riverside, MO 64150-7500
Phone (816) 205-8120
2325 Dougherty Ferry Rd
Suite 201
Saint Louis, MO 63122-3356
Phone (314) 993-1714
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.84 of 100
- Quality
- 80.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.55
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190703001127 | MO | Practitioner - Physician Assistant | 4183958655 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2014043323 | MO | Yes |
Addresses
Primary practice location
1805 NW Platte Rd
Riverside, MO 64150-9601
Mailing address
1805 NW Platte Rd
Riverside, MO 64150-9601
Phone (816) 472-0400
Other providers in Riverside, MO
- Show Me State Infusion Pharmacy
- Sizewise Rentals LLC
- Jessica Smith
- Spine & Extremity Rehabilitation Center of Kansas City North Inc
- Jennifer Michelle Stanion
- Swope Health Services
- The Children'S Mercy Hospital
- The Children'S Mercy Hospital
- The Children'S Mercy Hospital
- The Children'S Mercy Hospital
All providers in Riverside, MO · Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2015. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.