NPIMap

Individual provider Active NPI

Jeffrey Scott Swenson, MD

  • Family Medicine Physician
  • Rupert, ID
National Provider Identifier
1376531004
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M9766 Issued in ID
Practice address
1308 8TH St Ste 1
Rupert, ID 83350
Phone
(208) 436-4322
Fax
(208) 436-1312
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M9766 ID Primary

Addresses

Primary practice location

1308 8TH St Ste 1
Rupert, ID 83350

Mailing address

1224 8TH Street
Rupert, ID 83350-1532
Phone (208) 434-8236

Other practice location 1

1224 8th St
Rupert, ID 83350-1599
Phone (208) 436-0481

Other identifiers 3

IdentifierTypeStateIssuer
M8073867MedicaidID
M0027582MedicaidID
78193OtherIDBLX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20080804000286 ID Practitioner - Family Practice 5991879314 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minidoka Memorial HospitalGroup PAC ID 7315908894, shared by 4 NPIs, 38 clinicians
Urgent Care of Idaho LLCGroup PAC ID 8527381136, 17 clinicians

Practice addresses (Care Compare)

1218 9TH St
Suite 10
Rupert, ID 83350-2207

1224 8TH St
Rupert, ID 83350-1257

1224 8TH St
Rupert, ID 83350-1527

1225 S Lincoln Ave
Jerome, ID 83338-3036
Phone (208) 324-2004

1308 8TH St
Suite 1
Rupert, ID 83350-1535
Phone 20843604813167

711 G St
Rupert, ID 83350-1612

90 W 142
Rupert, ID 83350-9384

Hospital & facility affiliations

  • Intermountain Home Care of Cassia Home health agency, Burley, ID, CCN 137016
  • Horizon Home Health Magic Valley Home health agency, Twin Falls, ID, CCN 137114
  • Visions Home Health & Visions Home Care LLC Home health agency, Twin Falls, ID, CCN 137107
  • Hospice Visions Hospice, Twin Falls, ID, CCN 131524
  • Minidoka Memorial Hospital Hospital, Rupert, ID, CCN 131319
  • Cassia Regional Hospital Hospital, Burley, ID, CCN 131326
  • St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002
  • Countryside Care & Rehabilitation Nursing home, Rupert, ID, CCN 135064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9766IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minidoka Memorial Hospital Family Medicine CurrentSince Jan 4, 2010 Accepting new patients
Minidoka Memorial Hospital CurrentSince Jan 4, 2010 Accepting new patients
River View Urgent Care & Medical Center Inc CurrentSince Jan 12, 2012 Accepting new patients
Urgent Care of Idaho, LLC Family Medicine CurrentSince Nov 1, 2014 Accepting new patients
Urgent Care of Idaho, LLC Family Medicine CurrentSince Nov 10, 2014 Accepting new patients
Minidoka Memorial Hospital Past Accepting new patients

Locations

382 N Overland Ave
Burley, ID 83318
Phone (208) 378-7700

133 W Avenue A
#B
Jerome, ID 83338
Phone (208) 324-2004

1218 9th St
Ste 4
Rupert, ID 83350
Phone (208) 436-4838

1224 8th St
Rupert, ID 83350
Phone (208) 434-8236

1308 8th St
Ste 1
Rupert, ID 83350
Phone (208) 436-4322

Interoperability endpoints

  • Direct secure messaging: jswenson626330@direct.ochin.org
  • Direct secure messaging: jswenson@minidokamh.securechart.com

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1376531004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 8TH STREET",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501532",
            "telephone_number": "208-434-8236",
            "fax_number": "208-436-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 8TH ST STE 1",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "83350",
            "telephone_number": "208-436-4322",
            "fax_number": "208-436-1312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 8th St",
            "address_purpose": "LOCATION",
            "city": "Rupert",
            "state": "ID",
            "postal_code": "833501599",
            "country_code": "US",
            "telephone_number": "208-436-0481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M9766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8073867",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M0027582",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLX",
            "identifier": "78193",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rupert, ID

Sources for this page

Verify at the official NPI Registry.