Individual provider Active NPI

Jay Richard Swanson, APRN-BC

  • Adult Health Nurse Practitioner
  • Wellsville, NY
National Provider Identifier
1750644191
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F307721 Issued in NY
Practice address
191 N Main St
Wellsville, NY 14895-1150
Phone
(585) 595-1100
NPI assigned
Jun 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F307721 NY Primary
Registered Nurse 163W00000X 715559 NY

Addresses

Primary practice location

191 N Main St
Wellsville, NY 14895-1150

Mailing address

191 N Main St
Wellsville, NY 14895-1150
Phone (585) 595-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160920000576 NY Practitioner - Nurse Practitioner 0840440798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

240 E 38TH St
New York, NY 10016-2708
Phone (212) 263-7300

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
715559NYMDRegistered Nurse
F307721NYMDAdult Health Nurse Practitioner

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Aug 1, 2019 Accepting new patients
Delphi Hospitalist Services LLC CurrentSince Aug 1, 2016 Accepting new patients
Delphi Healthcare PLLC CurrentSince Aug 1, 2016 Accepting new patients
New York University CurrentSince Aug 1, 2019 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. Past Accepting new patients

Locations

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

1160 Chili Ave
Ste 200
Rochester, NY 14624
Phone (585) 235-1514

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Networks

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

Interoperability endpoints

  • Direct secure messaging: jswanson298879@nyumc.direct-ci.com

Organizations & group practices 5

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1750644191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951150",
            "telephone_number": "585-595-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951150",
            "telephone_number": "585-595-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JAY",
        "middle_name": "RICHARD",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307721",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "715559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, NY

Sources for this page

Verify at the official NPI Registry.