Active NPI
Jay Richard Swanson, APRN-BC
- Adult Health Nurse Practitioner
- Wellsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F307721
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 715559 | NY | MD | Registered Nurse |
| F307721 | NY | MD | Adult Health Nurse Practitioner |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| Delphi Hospitalist Services LLC | Current | Accepting new patients | |
| Delphi Healthcare PLLC | Current | Accepting new patients | |
| New York University | Current | 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
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
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
- Kathleen Speta, FNP
- Glenda Stocking
- Cathy J Strawcutter
- Jeanne M Streeter, NP
- Jennifer Studley, LMSW, CASAC-T
- Megan Harper Szalay, COTA
- Scott Michael Szalay, PTA
- Heather L Templeton, MS ATR
- The Memorial Hospital of William F and Gertrude F Jones
- The Memorial Hospital of William F and Gertrude F Jones
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.