Mary Young Swanson, F.N.P.
Individual provider Active NPI Family Nurse Practitioner · Pearland, TX
NPI 1962404491 · NPPES record last updated Jan 19, 2011
Key facts
- NPI
- 1962404491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 688209 (TX)
- Practice address
- 3223 Broadway St
Pearland, TX 77581-4501 - Phone
- (281) 485-9034
- Fax
- (281) 485-9807
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
801 N Stilson Rd
Suite 100
Boise, ID 83703-5142
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230105000187 | ID | Practitioner - Nurse Practitioner | 6507890332 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mmmedical Group LLC. | Current |
Accepting new patients |
Locations
801 N Stilson Rd
Ste 100
Boise, ID 83703
Phone (208) 332-4540
9858 W State St
Star, ID 83669
Phone (208) 286-9471
Interoperability endpoints
- https://api.platform.athenahealth.com/20796/brand/1/csg/1/fhir/r4
- mary.swanson@93374147657732.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 688209 | TX | Yes |
Addresses
Primary practice location
3223 Broadway St
Pearland, TX 77581-4501
Mailing address
3223 Broadway St
Pearland, TX 77581-4501
Phone (281) 485-9034
Other providers in Pearland, TX
- Byron Stephen Sutherland
- Elaine Sutton
- April Renee Svetlik
- Elizabeth Svetlik
- Tanya Svott
- Alyssa Swartz
- Sweeny Hospital District
- Sweet Home of Hope, LLC
- Alyssa Sweet
- Swift Meds LLC
All providers in Pearland, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.