ELIZABETH A SWANSON (M.D.) – Pediatric Dermatology Physician, NPI 1174596951

ELIZABETH A SWANSON (M.D.) is a healthcare provider. based in Meridian, Idaho. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. M15214 (ID). The NPI Number for ELIZABETH A SWANSON (M.D.) is 1174596951

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH A SWANSON (M.D.)
NPI
1174596951
Phone
(208) 884-3376
Address
1618 S MILLENIUM WAY STE 100
Enumeration Date
10 February 2006
Last Update Date
4 June 2025

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2088843376
Graduation Year
2005 (21 years ago)
PAC ID
3375547177
Group Practice PAC ID
1153341532
Professional Enrollment ID
I20200617000430
Address ID
ID836426457ME1618XWAYX401

Contacts

Secure Messaging
eswanson@adawest.emadirect.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

61 DERMATOLOGY in ID

Provider Addresses for ELIZABETH A SWANSON (M.D.)

  • 1618 S MILLENIUM WAY STE 100

    MERIDIAN, ID 836426457

    Phone: (208) 884-3376

    Fax: (208) 884-0858

    Type: Mailing

  • 12645, East Euclid Drive, Southfield Business Park, Centennial, Arapahoe County, Colorado, 80111, United States

    CENTENNIAL, CO 801116437

    Phone: (303) 493-1910

    Fax: (303) 493-1915

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 869 Open Payments records for all available years, with a total value of $963,555.

Total Amount is formed as General ($956,625) + Research ($6,930) + Ownership ($0) = $963,555.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: GENZYME CORPORATION ($217,251).

Total Amount

$963,555

General + Research + Ownership

Payments

869

Total payment records

General Amount

$956,625

General payments

Research Amount

$6,930

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101122000539IDermatologyCOTBD
I20200617000430IDermatologyIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83642)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153341532View full group profile
NameSpecialtyState
Physician AssistantID
Nurse PractitionerID
D E R M A T O L O G YAL
Physician AssistantID
Physician AssistantMN
Physician AssistantID
Physician AssistantID
Physician AssistantID
D E R M A T O L O G YID
Physician AssistantID

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Frequently asked questions

What unique ID ties claims to ELIZABETH A SWANSON (M.D.)?
NPI 1174596951 is assigned to ELIZABETH A SWANSON (M.D.) under the national enumeration system.
Is ELIZABETH A SWANSON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does ELIZABETH A SWANSON (M.D.) treat or focus on?
Patients typically see ELIZABETH A SWANSON (M.D.) under the specialty Pediatric Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location shows for ELIZABETH A SWANSON (M.D.)?
We surface Meridian, Idaho for ELIZABETH A SWANSON (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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