Individual provider Active NPI

Heather Suzette Swanson, DNP, CNM, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilcox, NE
National Provider Identifier
1780686501
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
111004 Issued in NE
Practice address
265 22 Rd
Wilcox, NE 68982-3008
Phone
(308) 830-9362
Fax
(308) 365-1038
NPI assigned
Aug 11, 2005
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A-117275 IA
Family Nurse Practitioner 363LF0000X 5654 CO
Family Nurse Practitioner 363LF0000X 111004 NE
Family Nurse Practitioner 363LF0000X 894 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 111004 NE Primary
Advanced Practice Midwife 367A00000X 894 TX
Advanced Practice Midwife 367A00000X 120026 NE
Advanced Practice Midwife 367A00000X B-117275 IA
Advanced Practice Midwife 367A00000X 5670 CO
Advanced Practice Midwife 367A00000X CM000043 SD
Lactation Consultant (Registered Nurse) 163WL0100X 56149 NE

Addresses

Primary practice location

265 22 Rd
Wilcox, NE 68982-3008

Mailing address

265 22 Rd
Wilcox, NE 68982-3008
Phone (308) 830-9362

Other identifiers 1

IdentifierTypeStateIssuer
49681010MedicaidCO

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041230000606 TX Practitioner - Certified Nurse Midwife (CNM) 9133187560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.52 of 100Reported as group
Quality
68.64
Promoting interoperability
91
Improvement activities
40
Cost
86.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
894TXMDMental Health Counselor
5654COMDThermography Chiropractor
56149NEMDLactation Consultant (Registered Nurse)
A-117275IAMDFamily Nurse Practitioner
111004NEMDPsychiatric/Mental Health Nurse Practitioner
5670COMDAdvanced Practice Midwife
B-117275IAMDAdvanced Practice Midwife
120026NEMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Indian Health Service CurrentSince Jun 30, 2016 Accepting new patients
Oneida Health, LLC Family CurrentSince Jan 29, 2023 Accepting new patients
Rosebud Indian Health Service CurrentSince Jun 30, 2016 Accepting new patients
Kearney Co Health Services Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1780686501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 22 RD",
            "city": "WILCOX",
            "state": "NE",
            "postal_code": "689823008",
            "telephone_number": "308-830-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 22 RD",
            "city": "WILCOX",
            "state": "NE",
            "postal_code": "689823008",
            "telephone_number": "308-830-9362",
            "fax_number": "308-365-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "HEATHER",
        "middle_name": "SUZETTE",
        "name_prefix": "Dr.",
        "credential": "DNP, CNM, FNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-117275",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "5654",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "111004",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "894",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "111004",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "894",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NE",
            "license": "120026",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IA",
            "license": "B-117275",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "5670",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SD",
            "license": "CM000043",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NE",
            "license": "56149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49681010",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilcox, NE

Sources for this page

Verify at the official NPI Registry.