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HEATHER KAY SWANSON M.D.
NPI 1841304243
Family Medicine in Pierz, MN

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
138 MAIN ST S, PIERZ, MN 56364(320) 468-2587(320) 845-6138 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Kay Swanson M.d. NPPES

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

HEATHER KAY SWANSON M.D. (NPI 1841304243) is an individual family medicine provider in Pierz, Minnesota, licensed in Minnesota (45626) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Joseph's Medical Center, and is a graduate of University Of Minnesota Medical School (2000).

NPPES Registry Identity

NPI1841304243
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEATHER KAY SWANSONCredential: M.D.
Location Address138 MAIN ST SPierz, MN 56364-4400
Mailing Address1702 University Dr SFargo, ND 58103-4940
Phone(320) 468-2587
Fax(320) 845-6138
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2000
Enumeration DateAugust 19, 2006
Last NPPES UpdateSeptember 15, 2023
NPPES CertifiedSeptember 15, 2023
✔ NPI 1841304243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 45626
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
138 MAIN ST S, Pierz, MN 56364
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Other Identifiers 7

Other00086876MN · Rail Road Mc
Other01-14763MN · Medica
Other656S1SWMN · Blue Cross
Medicaid781103900MN
OtherHP39979MN · Health Partners
Other135039MN · Ucare
Other1035400MN · Preferred One

Accepted Insurance

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

Heather Kay Swanson M.d. 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 ID5496643967
PECOS Enrollment IDI20040306000193
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.

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.
98 services62 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.
94 services66 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Essentia Health St Joseph's Medical Center

Acute Care Hospitals · Brainerd, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240075
Location523 North 3rd StreetBrainerd, MN 56401 · Crow Wing County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56364 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers23 claims49 services$6.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers25 claims25 services$78.42 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 3

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

SHELBIE KAPSNER DNP
Nurse Practitioner (Family)
138 MAIN ST S
PIERZ, MN 56364
Morrison County (320) 468-2587
ST. JOSEPH'S MEDICAL CENTER
Clinic/Center (Primary Care)
138 MAIN ST S
PIERZ, MN 56364
Morrison County (320) 468-2587
MATTHEW JAMES HUBERTY PT
Physical Therapist
138 MAIN ST S
PIERZ, MN 56364
Morrison County (320) 468-2587

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 Heather Swanson's NPI number?

The NPI number for Heather Swanson is 1841304243. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Heather Swanson located?

Heather Swanson practices at 138 Main St S, Pierz, MN 56364. The listed phone number is (320) 468-2587.

What is Heather Swanson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Heather Swanson enrolled in Medicare?

Yes. Heather 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.

What insurance does Heather Swanson accept?

Health plans from Medica and Sanford Health Plan list Heather 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 Heather Swanson affiliated with any hospitals?

According to CMS data, Heather Swanson is affiliated with Essentia Health St Joseph's Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Swanson was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.