NPIMap

Individual provider Active NPI

Wade T Swenson II, MD

  • Hematology & Oncology Physician
  • Staples, MN
National Provider Identifier
1326148446
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
47579 Issued in MN
Practice address
49725 County 83
Staples, MN 56479-5280
Phone
(218) 894-1515
Fax
(218) 894-8767
NPI assigned
Sep 25, 2006
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 47579 MN Primary

Addresses

Primary practice location

49725 County 83
Staples, MN 56479-5280

Mailing address

49725 County 83
Staples, MN 56479-5280
Phone (218) 894-1515

Other identifiers 8

IdentifierTypeStateIssuer
13453MedicaidND
335G3SWOtherMNBCBS
41091744413MedicaidNE
132783OtherMNUCAREMN
1044036OtherMNPREFERREDONE
667642100MedicaidMN
36-00583OtherMNMEDICA
HP61085OtherMNHEALTHPARTNERS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000301 MN Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 7911995725 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
University of North Dakota School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stevens Community Medical Center IncGroup PAC ID 3678475852, shared by 6 NPIs, 72 clinicians
Lakewood Health SystemGroup PAC ID 1052229671, shared by 15 NPIs, 107 clinicians

Practice addresses (Care Compare)

400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-1313

49725 County
Staples, MN 56479-5280
Phone (218) 894-1515

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Region Healthcare Corporation CurrentSince May 1, 2010 Accepting new patients
Lakewood Health System CurrentSince Mar 1, 2022 Accepting new patients
Lake Region Healthcare Corporation CurrentSince May 1, 2010 Accepting new patients
Lakewood Health System CurrentSince Mar 1, 2022 Accepting new patients
Lakewood Health System CurrentSince Mar 1, 2022 Accepting new patients
Stevens Community Medical Center Inc. CurrentSince Jul 1, 2022 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Dec 29, 2025 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Jul 1, 2022 Accepting new patients
Lakewood Health System Current Accepting new patients
Washington County Hospital Past Accepting new patients
Henry County Soldiers' and Sailors' Memorial Hospital Past Accepting new patients

Locations

712 S Cascade St
Fergus Falls, MN 56537

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

49725 County 83
Staples, MN 56479
Phone (218) 894-1033

501 Poler St
Starbuck, MN 56381
Phone (320) 239-3939

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
  • Direct secure messaging: wswenson23990@direct.centracare.com
  • Direct secure messaging: wswenson633962@direct.ochin.org

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lakewood Health SystemStaples, MN, CCN 241329 Hospital Corporate Director Jan 1, 2023
Lakewood Health SystemStaples, MN, CCN 24Z329 Hospital Corporate Director Jan 1, 2023
Lakewood Health SystemStaples, MN, CCN 245420A Skilled nursing facility Corporate Director Jan 1, 2023
Lakewood Health System Home Care and HospiceStaples, MN, CCN 247124 Home health agency Corporate Director Jan 1, 2023
Lakewood Health SystemStaples, MN, CCN 241559 Hospice Corporate Director Jan 1, 2023
Lakewood Health System BrowervilleBrowerville, MN, CCN 243423 Rural health clinic Corporate Director Jan 1, 2023
Lakewood ClinicStaples, MN, CCN 243422 Rural health clinic Corporate Director Jan 1, 2023
Lakewood Clinic-BrowervilleEagle Bend, MN, CCN 243421 Rural health clinic Corporate Director Jan 1, 2023
Lakewood Clinic-MotleyMotley, MN, CCN 243431 Rural health clinic Corporate Director Jan 1, 2023
Lakewood Clinic-PillagerPillager, MN, CCN 243436 Rural health clinic Corporate Director Jan 1, 2023

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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.

Hospital & facility affiliations 12

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1326148446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49725 COUNTY 83",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564795280",
            "telephone_number": "218-894-1515",
            "fax_number": "218-894-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49725 COUNTY 83",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564795280",
            "telephone_number": "218-894-1515",
            "fax_number": "218-894-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "WADE",
        "middle_name": "T",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MN",
            "license": "47579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13453",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "335G3SW",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41091744413",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCAREMN",
            "identifier": "132783",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "1044036",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "667642100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "36-00583",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP61085",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staples, MN

Sources for this page

Verify at the official NPI Registry.