SAMANTHA SWANHORST – Physician Assistant, NPI 1013623305

SAMANTHA SWANHORST is a healthcare provider. based in Minneapolis, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold a License No. 14357 (MN). The NPI Number for SAMANTHA SWANHORST is 1013623305

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA SWANHORST
NPI
1013623305
Phone
(612) 439-1868
Address
2829 UNIVERSITY AVE SE STE 730
Enumeration Date
30 January 2023
Last Update Date
2 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7153076000
Graduation Year
2022 (4 years ago)
PAC ID
7517325665
Group Practice PAC ID
5496640161
Professional Enrollment ID
I20260225001606
Address ID
WI540221571RI1629XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for SAMANTHA SWANHORST

  • 2829 UNIVERSITY AVE SE STE 730

    MINNEAPOLIS, MN 554143279

    Phone: (612) 439-1868

    Type: Mailing

  • 333 SMITH AVE N

    SAINT PAUL, MN 551022344

    Phone: (651) 241-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-02-25

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
I20230621002501IPhysician AssistantMNTBD
I20260225001606IPhysician AssistantWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making1717$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1212$0
View full utilization report →

Insurance plans in this area (ZIP 55414)

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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: 5496640161View full group profile
NameSpecialtyState
Emergency MedicineMN
Emergency MedicineMN
Emergency MedicineMN
Emergency MedicineMN
Emergency MedicineMN
Emergency MedicineMN
Emergency MedicineIL
Emergency MedicineMN
Physician AssistantMN
Emergency MedicineMN

Reviews

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Frequently asked questions

Can I use this page to confirm SAMANTHA SWANHORST's NPI?
Yes. SAMANTHA SWANHORST is listed with NPI 1013623305 in the public NPI dataset.
Does CMS list SAMANTHA SWANHORST as active?
Yes — SAMANTHA SWANHORST is active in the NPI listing used on this page.
What taxonomy line describes SAMANTHA SWANHORST?
For research purposes, treat SAMANTHA SWANHORST as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does SAMANTHA SWANHORST list a practice location?
Patients near Minneapolis, Minnesota may find SAMANTHA SWANHORST in results; validate coverage separately.
Is the information about SAMANTHA SWANHORST up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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