Individual provider Active NPI

Jil K Swanson, PA-C

  • Physician Assistant
  • Washington, PA
National Provider Identifier
1386792422
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA050752 Issued in PA
Practice address
95 W Beau St
Washington, PA 15301-6800
Phone
(724) 228-7006
Fax
(724) 228-8822
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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 MA050752 PA Primary

Addresses

Primary practice location

95 W Beau St
Washington, PA 15301-6800

Mailing address

100 N Wren Dr
Pittsburgh, PA 15243-1248
Phone (412) 429-2570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040618000673 PA Practitioner - Physician Assistant 0941285670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark P. Seraly, MD, PCGroup PAC ID 6204021843, 6 clinicians

Practice addresses (Care Compare)

222 E McMurray Rd
MC Murray, PA 15317-2948
Phone (724) 969-2500

Merit-based Incentive Payment System (MIPS)

Final score
89.1 of 100Reported as group
Quality
78.2
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA050752PAMDPhysician 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1386792422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WREN DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431248",
            "telephone_number": "412-429-2570",
            "fax_number": "412-429-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 W BEAU ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153016800",
            "telephone_number": "724-228-7006",
            "fax_number": "724-228-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JIL",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.