Individual provider Active NPI

Lori Lynn Swanson

  • Family Nurse Practitioner
  • Winnebago, NE
National Provider Identifier
1760675177
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110931 Issued in NE
Practice address
Highway 77/75
Winnebago Indian Health Service Hospital
Winnebago, NE 68071-0767
Phone
(402) 878-2231
NPI assigned
Aug 20, 2007
Last updated
Aug 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A-061552 IA
Family Nurse Practitioner 363LF0000X 110931 NE Primary

Addresses

Primary practice location

Highway 77/75
Winnebago Indian Health Service Hospital
Winnebago, NE 68071-0767

Mailing address

PO Box HH Hwy 7775
Winnebago Indian Health Service Hospital
Winnebago, NE 68071-0767
Phone (402) 878-2231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090116000366 TX Practitioner - Nurse Practitioner 0648333690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winnebago Tribe of NebraskaGroup PAC ID 7113268640, 32 clinicians

Practice addresses (Care Compare)

225 Bluff St
Winnebago, NE 68071-9703
Phone (402) 878-3554

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-061552IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winnebago Tribe of Nebraska CurrentSince Jan 27, 2019 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jan 27, 2019 Accepting new patients
Winnebago Tribe of Nebraska Current Accepting new patients
Winnebago Indian Health Service PastSince Oct 31, 2016 Accepting new patients

Locations

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1760675177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX HH HWY 7775",
            "address_2": "WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL",
            "city": "WINNEBAGO",
            "state": "NE",
            "postal_code": "680710767",
            "telephone_number": "402-878-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 77/75",
            "address_2": "WINNEBAGO INDIAN HEALTH SERVICE HOSPITAL",
            "city": "WINNEBAGO",
            "state": "NE",
            "postal_code": "680710767",
            "telephone_number": "402-878-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "LORI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-061552",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnebago, NE

Sources for this page

Verify at the official NPI Registry.