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KRISTA SWENSON MD
NPI 1548444896
Obstetrics & Gynecology in Maplewood, MN

Active since December 21, 2007PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
2603 WHITE BEAR AVE, MAPLEWOOD, MN 55109(937) 208-2079 Get Directions Write a Review

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

Record update history: Mar 6, 2025, Mar 11, 2021 (2 updates tracked since 2021).

About Krista Swenson Md NPPES

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

KRISTA SWENSON MD (NPI 1548444896) is an individual obstetrics & gynecology provider in Maplewood, Minnesota, licensed in Ohio (35-097590) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2007).

NPPES Registry Identity

NPI1548444896
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKRISTA SWENSONCredential: MD
Location Address2603 WHITE BEAR AVEMaplewood, MN 55109
Mailing Address2603 White Bear AveMaplewood, MN 55109 · (937) 208-2079
Phone(937) 208-2079
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2007
Enumeration DateDecember 21, 2007
Last NPPES UpdateMarch 6, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1548444896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in OH · 35-097590✔ Licensed in OH · 57-013955
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2603 WHITE BEAR AVE, Maplewood, MN 55109
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.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

Krista Swenson Md 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 ID5890965404
PECOS Enrollment IDI20131021001317
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 Krista Swenson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minnesota Women's Care, P.A.
Same address
Obstetrics & Gynecology
2603 WHITE BEAR AVENUE NOTH
Maplwood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Minnesota Womens Care PA
  • 47 clinicians in this Medicare group
NPI 1518221779 (651) 600-3035
Allina Health System
4.2 mi
Family Medicine
1155 COUNTY ROAD E E, SUITE 100
Vadnais Heights, MN 55110
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,609 clinicians in this Medicare group
NPI 1861798654 (651) 241-9200

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 55109 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Reported Quality Measures

Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
57%46 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
91%45 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
33%45 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
42%45 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Krista Swenson's NPI number?

The NPI number for Krista Swenson is 1548444896. It was assigned to this individual provider in the NPPES registry on December 21, 2007.

Where is Krista Swenson located?

Krista Swenson practices at 2603 White Bear Ave, Maplewood, MN 55109. The listed phone number is (937) 208-2079.

What is Krista Swenson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Krista Swenson enrolled in Medicare?

Yes. Krista 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 Krista Swenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krista Swenson reassigns Medicare benefits to 2 organizations: Minnesota Women's Care, P.A. (Maplwood, MN) and Allina Health System (Vadnais Heights, MN). 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 Krista Swenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krista Swenson accept?

Health plans from HealthPartners and Sanford Health Plan list Krista 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 Krista Swenson was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.