Holly Ann Swain, PA-C
Individual provider Active NPI Medical Physician Assistant · Sister Bay, WI
NPI 1346357449 · NPPES record last updated Nov 17, 2023
Key facts
- NPI
- 1346357449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 467-023 (WI)
- Practice address
- 2345 Canterbury LN
Sister Bay, WI 54234-5602 - Phone
- (920) 868-3511
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Door County Memorial Hospital
Practice addresses (Care Compare)
323 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 743-5566
Hospital & facility affiliations
- Door County Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 467-023 | WI | MD | Physician Assistant |
Interoperability endpoints
- holly.swain@direct.dcmedical.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 467-023 | WI | |
| Medical Physician Assistant | 363AM0700X | 467-023 | WI | Yes |
Addresses
Primary practice location
2345 Canterbury LN
Sister Bay, WI 54234-5602
Mailing address
323 S. 18TH Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42934500 | Medicaid | WI |
Other names
- Miss Holly Ann Pepowski
Other providers in Sister Bay, WI
- Sister Bay Hometown Pharmacy LLC
- Sister Bay Pharmacy
- Sister Bay SNF Opco LLC
- Stanley Smith
- Michael David Stubenvoll
- The Evangelical Lutheran Good Samaritan Society
- James R Thomas
- Timothy D. Tishler
- Deborah Marie Webber
- Alison Werner
All providers in Sister Bay, WI · Medical Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- 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.