SHEL SWANSON CNM
NPI 1174970925
Advanced Practice Midwife in Hartford, CT

Active since May 23, 2016PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shel Swanson Cnm NPPES

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

SHEL SWANSON CNM (NPI 1174970925) is an individual advanced practice midwife in Hartford, Connecticut, licensed in Connecticut (000228) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1174970925
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameSHEL SWANSONCredential: CNM
Location Address1 MAIN STHartford, CT 06106-1806
Mailing Address154 Alston AveNew Haven, CT 06515-2002 · (203) 641-2111
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMay 23, 2016
✔ NPI 1174970925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in CT · 000228
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
1 MAIN ST, Hartford, CT 06106

Other Names 1

Professional Name (2)Shel Swanson Cnm

Accepted 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

Shel Swanson Cnm 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 ID9931464971
PECOS Enrollment IDI20180523000260
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 Shel Swanson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
400-428 COLUMBUS AVENUE
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 468 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1071 E MAIN ST
Bridgeport, CT 06608
  • Reassigned Medicare billing, Connecticut enrollment
  • 132 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 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
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

Anesthesiology
1 MAIN ST, UNIT N1
HARTFORD, CT 06106
Advanced Practice Midwife
1 MAIN ST
HARTFORD, CT 06106
Social Worker (Clinical)
1 MAIN ST
HARTFORD, CT 06106
Obstetrics & Gynecology (Gynecology)
1 MAIN ST, HARTFORD GYN CENTER
HARTFORD, CT 06106
Nurse Anesthetist, Certified Registered
1 MAIN ST, SUITE N1
HARTFORD, CT 06106
Clinic/Center (Ambulatory Family Planning Facility)
1 MAIN ST, UNIT N1
HARTFORD, CT 06106
Counselor
1 MAIN ST
HARTFORD, CT 06106
Social Worker (Clinical)
1 MAIN ST
HARTFORD, CT 06106

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 Shel Swanson's NPI number?

The NPI number for Shel Swanson is 1174970925. It was assigned to this individual provider in the NPPES registry on May 23, 2016. The provider is also known as Shel Swanson Cnm.

Where is Shel Swanson located?

Shel Swanson practices at 1 Main St, Hartford, CT 06106. The listed phone number is (860) 525-1900.

What is Shel Swanson's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Shel Swanson enrolled in Medicare?

Yes. Shel Swanson 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 Shel Swanson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shel Swanson reassigns Medicare benefits to 2 organizations: Cornell Scott Hill Health Corporation (New Haven, CT) and Optimus Health Care Inc (Bridgeport, 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 Shel Swanson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shel Swanson accept?

Health plans from Anthem Blue Cross and Blue Shield list Shel Swanson 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 Shel Swanson was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.