Individual provider Active NPI

Eileen Swenson, PA-C

  • Physician Assistant
  • Celebration, FL
National Provider Identifier
1528341344
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9106132 Issued in FL
Practice address
410 Celebration PL Ste 302
Celebration, FL 34747-5435
Phone
(407) 303-3824
Fax
(407) 303-3825
NPI assigned
Sep 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9106132 FL
Physician Assistant 363A00000X PA 9106132 FL Primary

Addresses

Primary practice location

410 Celebration PL Ste 302
Celebration, FL 34747-5435

Mailing address

410 Celebration PL Ste 302
Celebration, FL 34747-5435
Phone (407) 303-4190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120130000741 FL Practitioner - Physician Assistant 4981861168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

400 Celebration PL
Celebration, FL 34747-4970

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA 9106132FLMDPhysician Assistant
PA9106132FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Clinical Services,Inc. Surgical CurrentSince Feb 23, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 12, 2024 Accepting new patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Aug 12, 2024 Accepting new patients

Locations

410 Celebration Pl
Ste 302
Kissimmee, FL 34747
Phone (407) 303-3824

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2501 N Orange Ave
Ste 340
Orlando, FL 32804
Phone (407) 872-7822

4215 Edgewater Dr
Orlando, FL 32804
Phone (407) 539-2000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: eswenson128032@adventhealth.direct-ci.com

Organizations & group practices 3

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": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1528341344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 302",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475435",
            "telephone_number": "407-303-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CELEBRATION PL STE 302",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475435",
            "telephone_number": "407-303-3824",
            "fax_number": "407-303-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "EILEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106132",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9106132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celebration, FL

Sources for this page

Verify at the official NPI Registry.