CLARISSA ANN SWAN
NPI 1699231704
Nurse Practitioner - Adult Health in Stony Brook, NY

Q: What is Clarissa Swan's NPI number?

The NPI number for Clarissa Swan is 1699231704. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Q: What is Clarissa Swan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Clarissa Swan was last updated on March 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 13, 2019PECOS Enrolled

101 NICOLLS RD, STONY BROOK, NY 11794(631) 689-8333 Get Directions Write a Review

NPPES record last updated: March 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2019, Feb 13, 2019 (2 updates tracked since 2019).

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About Clarissa Ann Swan NPPES

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

CLARISSA ANN SWAN (NPI 1699231704) is an individual adult health provider in Stony Brook, New York, licensed in New York (F308908-1) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699231704

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameCLARISSA ANN SWAN

Location Address101 NICOLLS RDStony Brook, NY 11794-0001

Mailing Address19801 100th AveHollis, NY 11423-3315

Phone(631) 689-8333

Sole ProprietorNo

Enumeration DateFebruary 13, 2019

Last NPPES UpdateMarch 22, 20192 updates tracked since enumeration

✔ NPI 1699231704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F308908-1

101 NICOLLS RD, Stony Brook, NY 11794

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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 (PECOS)

Clarissa Ann Swan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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