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MS. CYNTHIA KAY SWANSON NURSE PRACTITIONER
NPI 1629404298
Nurse Practitioner in Elgin, IL

Active since September 16, 2013PECOS Enrolled
1435 N RANDALL RD, STE 201, ELGIN, IL 60123(847) 695-3168(847) 695-4289 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 26, 2024, Dec 13, 2021, May 23, 2019 (3 updates tracked since 2019).

About Ms. Cynthia Kay Swanson Nurse Practitioner NPPES

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

MS. CYNTHIA KAY SWANSON NURSE PRACTITIONER (NPI 1629404298) is an individual nurse practitioner in Elgin, Illinois, licensed in Illinois (209.010422) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1629404298
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. CYNTHIA KAY SWANSONCredential: NURSE PRACTITIONER
Location Address1435 N RANDALL RD, STE 201Elgin, IL 60123
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900 · Fax (847) 390-4757
Phone(847) 695-3168
Fax(847) 695-4289
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 16, 2013
Last NPPES UpdateDecember 26, 20243 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
✔ NPI 1629404298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209.010422
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.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 209.010422 (IL)
1435 N RANDALL RD, Elgin, IL 60123
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Cynthia Kay Swanson Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355657446
PECOS Enrollment IDI20150903002786
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 Cynthia Swanson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health And Hospitals Corporation
24 mi
General Acute Care Hospital
3815 HIGHLAND AVE
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1578670543 (630) 275-5900
Aamg Reach PLLC
43 mi
Family Medicine
1357 W 103RD ST
Chicago, IL 60643
  • Reassigned Medicare billing, Illinois enrollment
  • 21 clinicians in this Medicare group
NPI 1609502707 (773) 238-0800

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
604 services461 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
62 services51 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.
37 services36 patients
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.
23 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60123 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Other Providers at the Same Location NPPES 20

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

DR. HYUN JAE IHM M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1435 N RANDALL RD, SUITE 209
ELGIN, IL 60123
Kane County (847) 695-1620
DR. AZMEY AWAD MATARIEH M.D.
Internal Medicine (Cardiovascular Disease)
1435 N RANDALL RD, STE 201
ELGIN, IL 60123
Kane County (847) 695-3168
CARDIAC & VASCULAR SPECIALISTS, S.C.
Internal Medicine (Interventional Cardiology)
1435 N RANDALL RD, SUITE 201
ELGIN, IL 60123
Kane County (847) 931-4200
WALGREEN CO
Pharmacy
1435 N RANDALL RD, STE 101
ELGIN, IL 60123
Kane County (847) 531-5893
GREATER FAMILY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
1435 N RANDALL RD
ELGIN, IL 60123
Kane County (847) 608-1344
REIFF EYE CENTER LTD
Ophthalmology
1435 N RANDALL RD, SUITE 102
ELGIN, IL 60123
Kane County (847) 841-8866
FOX VALLEY COMPREHENSIVE WOMENS HEALTHCARE PC
Obstetrics & Gynecology
1435 N RANDALL RD, SUITE 302
ELGIN, IL 60123
Kane County (847) 741-5850
METRO INFECTIOUS DISEASE CONSULTANTS LLC
Internal Medicine (Infectious Disease)
1435 N RANDALL RD, SUITE 404
ELGIN, IL 60123
Kane County (888) 220-6432

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 Cynthia Swanson's NPI number?

The NPI number for Cynthia Swanson is 1629404298. It was assigned to this individual provider in the NPPES registry on September 16, 2013.

Where is Cynthia Swanson located?

Cynthia Swanson practices at 1435 N Randall Rd Ste 201, Elgin, IL 60123. The listed phone number is (847) 695-3168.

What is Cynthia Swanson's specialty?

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

Is Cynthia Swanson enrolled in Medicare?

Yes. Cynthia Swanson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Cynthia Swanson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Swanson reassigns Medicare benefits to 2 organizations: Advocate Health And Hospitals Corporation (Downers Grove, IL) and Aamg Reach PLLC (Chicago, IL). 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 Cynthia Swanson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Swanson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Cynthia 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.

Is Cynthia Swanson affiliated with any hospitals?

According to CMS data, Cynthia Swanson is affiliated with Advocate Sherman Hospital and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Cynthia Swanson was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.