Individual provider Active NPI

Grace Swanson, FNP-C

  • Family Nurse Practitioner
  • Chino Valley, AZ
National Provider Identifier
1396589073
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
309328 Issued in AZ
Practice address
474 N Hwy 89
Chino Valley, AZ 86323-5993
Phone
(928) 636-5680
Fax
(928) 636-5853
NPI assigned
Jun 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 309328 AZ Primary

Addresses

Primary practice location

474 N Hwy 89
Chino Valley, AZ 86323-5993

Mailing address

2410 N Hopi LN
Chino Valley, AZ 86323-8619
Phone (928) 642-7131

Other practice location 1

1947 Commerce Center Cir Ste A
Prescott, AZ 86301-4500
Phone (928) 458-5723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20241011000709 AZ Practitioner - Nurse Practitioner 0840722153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Complete Care, PLLCGroup PAC ID 3476982224, 5 clinicians

Practice addresses (Care Compare)

1947 Commerce Ctr Cir
Suite a
Prescott, AZ 86301-4500
Phone (928) 458-5723

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Prescott, AZ, CCN 037030
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Complete Care, PLLC CurrentSince Nov 1, 2024 Accepting new patients
Allergy & Immunology Specialists, LLC PastSince Oct 6, 2024 Accepting new patients

Locations

1947 Commerce Center Cir
Ste A
Prescott, AZ 86301
Phone (623) 512-4310

Organizations & group practices 2

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 2

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": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1396589073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 N HOPI LN",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863238619",
            "telephone_number": "928-642-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 N HWY 89",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235993",
            "telephone_number": "928-636-5680",
            "fax_number": "928-636-5853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1947 Commerce Center Cir Ste A",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863014500",
            "country_code": "US",
            "telephone_number": "928-458-5723",
            "fax_number": "928-237-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "GRACE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "309328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Valley, AZ

Sources for this page

Verify at the official NPI Registry.