Individual provider Active NPI

Alan Glen Swartz, APRN BC

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1689625071
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71001399A Issued in IN
Practice address
315 Mulberry St
Evansville, IN 47713-1252
Phone
(912) 421-7489
Fax
(812) 436-0209
NPI assigned
May 12, 2006
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71001399A IN
Family Nurse Practitioner 363LF0000X 71001399A IN Primary

Addresses

Primary practice location

315 Mulberry St
Evansville, IN 47713-1252

Mailing address

315 Mulberry St
Evansville, IN 47713-1252
Phone (812) 421-7489

Other identifiers 1

IdentifierTypeStateIssuer
200404650MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aswartz58303@direct.deaconess.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20091214000316 IN Practitioner - Nurse Practitioner 6709926272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Echo Community Health Care IncGroup PAC ID 4981515145, 18 clinicians

Practice addresses (Care Compare)

315 Mulberry St
Evansville, IN 47713-1252
Phone 81242174892244

316 Chandler Ave
Evansville, IN 47713-1147
Phone (813) 436-4501

401 John St
Evansville, IN 47713-2733
Phone 81242174892244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71001399AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Echo Community Health Care, Inc CurrentSince Nov 1, 2011 Accepting new patients
Echo Community Health Care, Inc. CurrentSince Nov 1, 2011 Accepting new patients
Thomas C Gustafson Family PastSince Jun 26, 2000 Accepting new patients

Locations

25 W Division St
Evansville, IN 47710
Phone (812) 436-0205

315 Mulberry St
Evansville, IN 47713
Phone (812) 421-7489

401 John St
Evansville, IN 47713
Phone (812) 436-0224

Interoperability endpoints

  • Direct secure messaging: aswartz58303@direct.deaconess.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Echo Community Health Care IncEvansville, IN, CCN 151824 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2024
Oct 1, 2024
Echo Community Health Care IncEvansville, IN, CCN 151817 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2024
Oct 1, 2024
Echo Community Health Care IncEvansville, IN, CCN 151820 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2024
Oct 1, 2024
Echo Community Health Care IncEvansville, IN, CCN 151940 Federally qualified health center Corporate Officer
W-2 Managing Employee
Oct 1, 2024
Oct 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, 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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1689625071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MULBERRY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131252",
            "telephone_number": "812-421-7489",
            "fax_number": "812-436-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MULBERRY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131252",
            "telephone_number": "912-421-7489",
            "fax_number": "812-436-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "ALAN",
        "middle_name": "GLEN",
        "credential": "APRN BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001399A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001399A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200404650",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aswartz58303@direct.deaconess.com",
            "affiliation": "N",
            "endpointDescription": "ECHO Community Healthcare, Onc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "315 Mulberry St",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477131252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.