Individual provider Active NPI

Marilyn Jean Swanson, DNP FNP-C

  • Family Nurse Practitioner
  • Lyndhurst, OH
National Provider Identifier
1568704492
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14366 Issued in OH
Practice address
1443 Richmond Rd
Lyndhurst, OH 44124-2449
Phone
(440) 461-0054
NPI assigned
Mar 18, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 14366 OH Primary

Addresses

Primary practice location

1443 Richmond Rd
Lyndhurst, OH 44124-2449

Mailing address

5209 Ashwood Dr
Lyndhurst, OH 44124-1037
Phone (440) 461-0054

Other practice location 1

5209 Ashwood Dr
Lyndhurst, OH 44124-1037
Phone (440) 461-0054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170801003623 OH Practitioner - Nurse Practitioner 0345511838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Ohio LLCGroup PAC ID 2961425608, 192 clinicians

Practice addresses (Care Compare)

1443 Richmond Rd
Lyndhurst, OH 44124-2449
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14366OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Ohio LLC Family CurrentSince Aug 1, 2025 Accepting new patients
Minuteclinic Diagnostic of Ohio LLC Family CurrentSince Jul 20, 2017 Accepting new patients

Locations

4961 Roberts Rd
Hilliard, OH 43026
Phone (614) 850-2407

1443 Richmond Rd
Lyndhurst, OH 44124
Phone (216) 381-4075

1100 Hill Rd N
Pickerington, OH 43147
Phone (614) 579-6173

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568704492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 ASHWOOD DR",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441241037",
            "telephone_number": "440-461-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 RICHMOND RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242449",
            "telephone_number": "440-461-0054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5209 Ashwood Dr",
            "address_purpose": "LOCATION",
            "city": "Lyndhurst",
            "state": "OH",
            "postal_code": "441241037",
            "country_code": "US",
            "telephone_number": "440-461-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "MARILYN",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DNP FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "14366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

Verify at the official NPI Registry.