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MS. SARAH C SWENSON NP
NPI 1003869561
Nurse Practitioner in Westport, CT

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
300 POST RD W STE 101, WESTPORT, CT 06880(203) 226-2490 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Sarah C Swenson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SARAH C SWENSON NP (NPI 1003869561) is an individual nurse practitioner in Westport, Connecticut, licensed in Connecticut (8695) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1003869561
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. SARAH C SWENSONCredential: NP
Location Address300 POST RD W STE 101Westport, CT 06880-4703
Mailing Address300 Post Rd W Ste 101Westport, CT 06880-4703 · (203) 226-2490
Phone(203) 226-2490
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1003869561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in CT · 8695✔ Licensed in RI · APRN00368
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
300 POST RD W STE 101, Westport, CT 06880
Open in Google Maps ↗

Other Names 1

Former Name (1)Sarah L Congleton Np

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Sarah C Swenson Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406860980
PECOS Enrollment IDI20060203000579, I20200423001828
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sarah Swenson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hartford Healthcare Medical Group Specialists, PLLC
56 mi
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut and Rhode Island enrollments
  • 1,921 clinicians in this Medicare group
NPI 1023584216 (860) 246-2071
William W Backus Hospital
73 mi
Psychiatric Unit
326 WASHINGTON ST
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 430 clinicians in this Medicare group
NPI 1730243536 (860) 889-8331

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
164 services99 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
146 services97 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
109 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06880 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAFWAN ZAR MD
Physical Medicine & Rehabilitation
300 POST RD W STE 101
WESTPORT, CT 06880
Western Connecticut Planning Region (203) 226-2490

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sarah Swenson's NPI number?

The NPI number for Sarah Swenson is 1003869561. It was assigned to this individual provider in the NPPES registry on May 18, 2006. The provider is also known as Sarah L Congleton Np.

Where is Sarah Swenson located?

Sarah Swenson practices at 300 Post Rd W Ste 101, Westport, CT 06880. The listed phone number is (203) 226-2490.

What is Sarah Swenson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sarah Swenson enrolled in Medicare?

Yes. Sarah Swenson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sarah Swenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Swenson reassigns Medicare benefits to 2 organizations: Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT) and William W Backus Hospital (Norwich, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Swenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Swenson accept?

Health plans from Anthem Blue Cross and Blue Shield list Sarah Swenson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sarah Swenson was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.