Individual provider Active NPI

Joel Swanner, PA

  • Physician Assistant
  • Page, AZ
National Provider Identifier
1558032623
Registry record updated Jan 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Jan 1, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 28 clinicians

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

LicenseStateTypeSpecialty
9475AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Canyonlands Community Health Care CurrentSince Dec 12, 2022 Accepting new patients
Canyonlands Community Health Care CurrentSince Dec 12, 2022 Accepting new patients

Locations

1615 S 1st Ave
Safford, AZ 85546
Phone (928) 348-1701

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.