MR. JAMES M SWAN JR. APNP
NPI 1467644195
Nurse Practitioner in Portage, WI

Active since August 16, 2007PECOS EnrolledAccepts Medicare Assignment
86.87/100
CMS Quality Rating
2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE INC, PORTAGE, WI 53901(608) 742-4131(608) 429-3966 Get Directions Write a Review

NPPES record last updated: January 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. James M Swan Jr. Apnp NPPES

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

MR. JAMES M SWAN JR. APNP (NPI 1467644195) is an individual nurse practitioner in Portage, Wisconsin, licensed in Wisconsin (3155033) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Divine Savior Healthcare, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1467644195
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. JAMES M SWAN JR.Credential: APNP
Location Address2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE INCPortage, WI 53901-0387
Mailing Address2817 New Pinery Road, Divine Savior Healthcare IncPortage, WI 53901-0387 · (608) 742-4131 · Fax (608) 429-3966
Fax(608) 429-3966
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 16, 2007
Last NPPES UpdateJanuary 31, 2012
NPI 1467644195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 3155033
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.
2817 NEW PINERY ROAD, Portage, WI 53901

Other Identifiers 2

Medicare PIN010700230WI
Medicaid36039800WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. James M Swan Jr. Apnp 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 ID7315030095
PECOS Enrollment IDI20070911000832
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.

Areas of Expertise CMS Part B claims

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.

Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
21 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Divine Savior Healthcare

Acute Care Hospitals · Portage, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520041
Location2817 New Pinery RoadPortage, WI 53901 · Columbia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53901 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

86.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.05
Promoting Interoperability100
Improvement Activities40
Cost63.39

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE
PORTAGE, WI 53901
Ophthalmology
2817 NEW PINERY ROAD
PORTAGE, WI 53901
Nurse Practitioner (Family)
2817 NEW PINERY ROAD
PORTAGE, WI 53901
Home Health
2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901
Surgery
2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE INC
PORTAGE, WI 53901
Urology
2817 NEW PINERY ROAD, DIVINE SAVIOR HEALTHCARE
PORTAGE, WI 53901
Family Medicine
2817 NEW PINERY ROAD
PORTAGE, WI 53901
Pharmacy (Long Term Care Pharmacy)
2817 NEW PINERY ROAD
PORTAGE, WI 53901

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 James Swan's NPI number?

The NPI number for James Swan is 1467644195. It was assigned to this individual provider in the NPPES registry on August 16, 2007.

Where is James Swan located?

James Swan practices at 2817 New Pinery Road Divine Savior Healthcare Inc, Portage, WI 53901. The listed phone number is (608) 742-4131.

What is James Swan's specialty?

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

Is James Swan enrolled in Medicare?

Yes. James Swan 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.

What insurance does James Swan accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, Medica and Quartz and 2 other insurers list James Swan 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.

Is James Swan affiliated with any hospitals?

According to CMS data, James Swan is affiliated with Divine Savior Healthcare.

When was this NPI record last updated?

The NPPES record for James Swan was last updated on January 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.