Individual provider Active NPI

Anna Autumn Swartzlander, APRN

  • Gerontology Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1639843683
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
113679 Issued in NE
Practice address
3220 W Van Dorn St
Lincoln, NE 68522-9278
Phone
(402) 471-3330
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X 113679 NE Primary

Addresses

Primary practice location

3220 W Van Dorn St
Lincoln, NE 68522-9278

Mailing address

4033 S 20TH St
Lincoln, NE 68502-5518
Phone (402) 417-8186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20220920002274 NE Practitioner - Nurse Practitioner 0042695553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
113679NEMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska House Call Physicians, P.C. Single Specialty CurrentSince Sep 25, 2022 Accepting new patients
Value Based Long Term Care B PC Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
The Bridge Behavioral Health, Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1639843683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 S 20TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025518",
            "telephone_number": "402-417-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 W VAN DORN ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685229278",
            "telephone_number": "402-471-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZLANDER",
        "first_name": "ANNA",
        "middle_name": "AUTUMN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NE",
            "license": "113679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.