Individual provider Active NPI

Ashley Swan, MSN,FNP-C

  • Nurse Practitioner
  • Watertown, NY
National Provider Identifier
1811505738
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN10017012 Issued in MA
Practice address
1571 Washington St Ste 107
Watertown, NY 13601-9304
Phone
(315) 782-7330
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11046344 FL
Nurse Practitioner 363L00000X RN10017012 MA Primary

Addresses

Primary practice location

1571 Washington St Ste 107
Watertown, NY 13601-9304

Mailing address

1571 Washington St Ste 107
Watertown, NY 13601-9304

Other practice location 1

2939 N Military Trl
West Palm Beach, FL 33409-2916
Phone (561) 863-5757

Other identifiers 1

IdentifierTypeStateIssuer
370717503OtherNYDRIVER LICENSE

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
I20230126001631 NY Practitioner - Nurse Practitioner 0749651941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.13 of 100Reported as group
Quality
74.26
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN10017012MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Nurse Practitioners - Family Health PLLC Family CurrentSince Mar 6, 2023 Accepting new patients
Eye Plastic and Reconstructive Surgery of Cny PC Past Accepting new patients

Locations

19472 US Route 11
Watertown, NY 13601
Phone (315) 782-6126

19472 US Route 11
Ste N101
Watertown, NY 13601
Phone (315) 422-3937

Organizations & group practices 2

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1811505738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 WASHINGTON ST STE 107",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 WASHINGTON ST STE 107",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019304",
            "telephone_number": "315-782-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2939 N Military Trl",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334092916",
            "country_code": "US",
            "telephone_number": "561-863-5757",
            "fax_number": "561-863-6627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWAN",
        "first_name": "ASHLEY",
        "credential": "MSN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11046344",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN10017012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER  LICENSE",
            "identifier": "370717503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.