Active NPI
Serena Minutolo Swanson, CRNA
- Certified Registered Nurse Anesthetist
- Dover, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- EL09819
- Practice address
- 789 Central Ave
Dover, NH 03820-2526 - Phone
- (603) 609-6819
- NPI assigned
- Sep 13, 2021
- Last updated
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 141123 | AZ | |
| Certified Registered Nurse Anesthetist | 367500000X | EL09819 | NH | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 089273-23 | NH |
Addresses
Primary practice location
789 Central Ave
Dover, NH 03820-2526
Mailing address
789 Central Ave
Dover, NH 03820-2526
Phone (603) 609-6819
Other practice location 1
1800 E Florence Blvd
Casa Grande, AZ 85122-5303
Phone (520) 381-6300
Other practice location 2
3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
789 Central Ave
Dover, NH 03820-2526
Phone (603) 740-2421
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141123 | AZ | MD | Certified Registered Nurse Anesthetist |
| 089273-23 | NH | MD | Certified Registered Nurse Anesthetist |
| EL09819 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients |
Locations
750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
789 Central Ave
Ste 2
Dover, NH 03820
3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
-
dba MaineHealth Memorial Hospital
- Critical Access Hospital
- North Conway, NH
- NPI 1700864709
-
dba MaineHealth Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- North Conway, NH
- NPI 1942361985
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1598434409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "789 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "603-609-6819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "038202526",
"telephone_number": "603-609-6819"
}
],
"practiceLocations": [
{
"address_1": "1800 E Florence Blvd",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851225303",
"country_code": "US",
"telephone_number": "520-381-6300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3073 White Mountain Hwy",
"address_purpose": "LOCATION",
"city": "North Conway",
"state": "NH",
"postal_code": "038607101",
"country_code": "US",
"telephone_number": "603-356-5461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWANSON",
"first_name": "SERENA",
"middle_name": "MINUTOLO",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "141123",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "EL09819",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "089273-23",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.