Individual provider Active NPI

Lynn Swafford

  • Physician Assistant
  • Riverside, MO
National Provider Identifier
1174918445
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2014043323 Issued in MO
Practice address
1805 NW Platte Rd
Riverside, MO 64150-9601
Phone
(816) 472-0400
NPI assigned
Apr 2, 2015
Last updated
Apr 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2014043323 MO Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20190703001127 MO Practitioner - Physician Assistant 4183958655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Missouri LLCGroup PAC ID 1153689294, 21 clinicians

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 100Reported as group
Quality
80.25
Promoting interoperability
100
Improvement activities
40
Cost
82.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1174918445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 NW PLATTE RD",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641509601",
            "telephone_number": "816-472-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 NW PLATTE RD",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641509601",
            "telephone_number": "816-472-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAFFORD",
        "first_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2014043323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, MO

Sources for this page

Verify at the official NPI Registry.