Individual provider Active NPI

Nolan Swanson, PA-C

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1770720997
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3088 Issued in NE
Practice address
2808 N 75TH St
Omaha, NE 68134-6817
Phone
(402) 932-2248
NPI assigned
Jan 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3088 NE Primary

Addresses

Primary practice location

2808 N 75TH St
Omaha, NE 68134-6817

Mailing address

2808 N 75TH St Ste 202
Omaha, NE 68134-6817
Phone (402) 932-2248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260311002765 NE Practitioner - Physician Assistant 2163905712 Reassigns benefits to 2 organizations
I20260311003221 IA Practitioner - Physician Assistant 2163905712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inroads to Recovery IncGroup PAC ID 0244450393, 6 clinicians

Practice addresses (Care Compare)

2808 N 75TH St
Omaha, NE 68134-6861
Phone (402) 932-2248

933 E Pierce St
Council Bluffs, IA 51503-4626
Phone (712) 396-6386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3088NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Edmundson Memorial Hospital Physician Assistant CurrentSince Apr 1, 2026 Accepting new patients
Inroads to Recovery, Inc CurrentSince Apr 1, 2026 Accepting new patients

Locations

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

2808 N 75th St
Omaha, NE 68134
Phone (402) 932-2248

2808 N 75th St
Ste 202
Omaha, NE 68134

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

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": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1770720997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 N 75TH ST STE 202",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346817",
            "telephone_number": "402-932-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 N 75TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346817",
            "telephone_number": "402-932-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "NOLAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-09",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "3088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.