Individual provider Active NPI

Jessica Swanson, MD

  • Emergency Medicine Physician
  • Hayward, WI
National Provider Identifier
1477939254
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
22614-875 Issued in WI
Practice address
11040 N State Road 77
Hayward, WI 54843-3606
Phone
(715) 934-4321
NPI assigned
Aug 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 22614-875 WI Primary
Emergency Medicine Physician 207P00000X MT219516 PA
Surgery Physician 208600000X 125.073087 IL
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

11040 N State Road 77
Hayward, WI 54843-3606

Mailing address

11040 N State Road 77
Hayward, WI 54843-3606
Phone (715) 934-4321

Other practice location 1

1615 Maple Ln
Ashland, WI 54806-3626
Phone (715) 685-5500

Other names 1

  • Jessica Buchanan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220822003628 WI Practitioner - Emergency Medicine 8325396807 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.19 of 100Reported as group
Quality
74.89
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.05 of 100Reported as group
Quality
87.37
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT219516PAMDEmergency Medicine Physician
125.073087ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Center Inc CurrentSince Aug 1, 2022 Accepting new patients
Medical Services, Inc CurrentSince Aug 1, 2022 Accepting new patients
Medical Services, Inc Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Memorial Medical Center Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563

11040 N State Road 77
Hayward, WI 54843
Phone (715) 934-4244

Organizations & group practices 4

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1477939254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 N STATE ROAD 77",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548433606",
            "telephone_number": "715-934-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 N STATE ROAD 77",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548433606",
            "telephone_number": "715-934-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Maple Ln",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "WI",
            "postal_code": "548063626",
            "country_code": "US",
            "telephone_number": "715-685-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JESSICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "22614-875",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT219516",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125.073087",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BUCHANAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hayward, WI

Sources for this page

Verify at the official NPI Registry.