Active NPI
Joel Swanner, PA
- Physician Assistant
- Page, AZ
National Provider Identifier
1558032623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 440 N Navajo Dr
Page, AZ 86040-0950 - Phone
- (928) 645-1700
- NPI assigned
- Sep 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
440 N Navajo Dr
Page, AZ 86040-0950
Mailing address
440 N Navajo Dr
Page, AZ 86040-0950
Phone (928) 654-1700
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230119003125 | AZ | Practitioner - Physician Assistant | 6204207707 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Canyonlands Community Health Care
Practice addresses (Care Compare)
440 N Navajo Dr
Page, AZ 86040-1625
Phone (928) 645-1700
467 Vista Ave
Page, AZ 86040-1478
Phone (928) 645-8123
PO Box
Suite 1625
Page, AZ 86040-1625
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9475 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyonlands Community Health Care | Current | Accepting new patients | |
| Canyonlands Community Health Care | Current | Accepting new patients |
Locations
1615 S 1st Ave
Safford, AZ 85546
Phone (928) 348-1701
Interoperability endpoints
- joel.swanner.p1@direct.canyonlands.nextgenshare.com
Organizations & group practices 12
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.
-
- Federally Qualified Health Center (FQHC)
- Page, AZ
- NPI 1457187981
-
- Federally Qualified Health Center (FQHC)
- Duncan, AZ
- NPI 1033275706
-
- Federally Qualified Health Center (FQHC)
- Clifton, AZ
- NPI 1134568660
-
- Federally Qualified Health Center (FQHC)
- Safford, AZ
- NPI 1144755182
-
- Community Health Clinic/Center
- Chilchinbeto, AZ
- NPI 1154380392
-
- Federally Qualified Health Center (FQHC)
- Globe, AZ
- NPI 1417218876
-
- Community Health Clinic/Center
- Page, AZ
- NPI 1669441564
-
- Federally Qualified Health Center (FQHC)
- Littlefield, AZ
- NPI 1780653741
-
- Federally Qualified Health Center (FQHC)
- Safford, AZ
- NPI 1861558595
-
- Federally Qualified Health Center (FQHC)
- Mesquite, NV
- NPI 1902471303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672531200000",
"number": "1558032623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 N NAVAJO DR",
"city": "PAGE",
"state": "AZ",
"postal_code": "860400950",
"telephone_number": "928-654-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 N NAVAJO DR",
"city": "PAGE",
"state": "AZ",
"postal_code": "860400950",
"telephone_number": "928-645-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANNER",
"first_name": "JOEL",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-27",
"last_updated": "2023-01-01",
"certification_date": "2023-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Page, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.