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KAREN L SWANSON APRN, CNP
NPI 1639743909
Nurse Practitioner in Huntley, IL

Active since May 19, 2021PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
10350 HALIGUS RD STE 200D, HUNTLEY, IL 60142(847) 802-7280(847) 802-7275 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2021, May 19, 2021 (2 updates tracked since 2021).

About Karen L Swanson Aprn, Cnp NPPES

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

KAREN L SWANSON APRN, CNP (NPI 1639743909) is an individual nurse practitioner in Huntley, Illinois, licensed in Illinois (209018724) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1639743909
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAREN L SWANSONCredential: APRN, CNP
Location Address10350 HALIGUS RD STE 200DHuntley, IL 60142-9545
Mailing Address10350 Haligus Rd Ste 200dHuntley, IL 60142-9545 · (847) 802-7280 · Fax (847) 802-7275
Phone(847) 802-7280
Fax(847) 802-7275
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 19, 2021
Last NPPES UpdateNovember 8, 20212 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
✔ NPI 1639743909 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 IL · 209018724
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.
10350 HALIGUS RD STE 200D, Huntley, IL 60142
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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

Karen L Swanson Aprn, Cnp 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 ID6204231699
PECOS Enrollment IDI20210824000174
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
415 services159 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.
17 services16 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry 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 60142 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

MS. KATHRYN R PENNELL APRN, FNP-BC
Nurse Practitioner
10350 HALIGUS RD STE 200D
HUNTLEY, IL 60142
McHenry County (847) 802-7280
DR. IRFAN N HAFIZ MD
Internal Medicine (Infectious Disease)
10350 HALIGUS RD STE 200D
HUNTLEY, IL 60142
McHenry County (847) 802-7280
ALLISON L NAZINITSKY MD
Internal Medicine (Infectious Disease)
10350 HALIGUS RD STE 200D
HUNTLEY, IL 60142
McHenry County (847) 802-7270

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 Karen Swanson's NPI number?

The NPI number for Karen Swanson is 1639743909. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Karen Swanson located?

Karen Swanson practices at 10350 Haligus Rd Ste 200D, Huntley, IL 60142. The listed phone number is (847) 802-7280.

What is Karen Swanson's specialty?

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

Is Karen Swanson enrolled in Medicare?

Yes. Karen 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.

Is Karen Swanson affiliated with any hospitals?

According to CMS data, Karen Swanson is affiliated with Northwestern Medicine Mchenry and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Karen Swanson was last updated on November 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.