CLINTON SWENSON – Nurse Practitioner, NPI 1528045465

CLINTON SWENSON is a healthcare provider. based in Minneapolis, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 1605 (MN). The NPI Number for CLINTON SWENSON is 1528045465

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
CLINTON SWENSON
NPI
1528045465
Phone
Not provided
Address
6465 WAYZATA BLVD
Enumeration Date
30 December 2005
Last Update Date
27 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514391234
Graduation Year
2001 (25 years ago)
PAC ID
4284776329
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20100127000584
Address ID
MN550826040ST1500XBLVD500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for CLINTON SWENSON

  • Wayzata Blvd, South Wayzata Boulevard, Minneapolis, Hennepin County, Minnesota, 55416, United States

    STE 315

    MINNEAPOLIS, MN 554261728

    Phone:

    Type: Mailing

  • Fairview Drive, Burnsville, Dakota County, Minnesota, 55337, United States

    BURNSVILLE, MN 553375713

    Phone: (952) 993-8700

    Type: Location

  • 8170 33RD AVENUE S

    MAILSTOP 21110Q

    BLOOMINGTON, MN 554251728

    Phone:

    Type: Mailing

  • 1500 CURVE CREST BLVD W

    STILLWATER, MN 550826040

    Phone: (651) 439-1234

    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: 2010-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100127000584INurse PractitionerMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes220145$0
36415Insertion of needle into vein for collection of blood sample192118$0
82565Blood creatinine level11593$0
83036Hemoglobin a1c level10082$0
80061Blood test, lipids (cholesterol and triglycerides)9581$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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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: 1759293954View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for CLINTON SWENSON?
CLINTON SWENSON — NPI 1528045465 — is the standard way to identify this listing.
Is CLINTON SWENSON still practicing?
CLINTON SWENSON is currently listed as active in the public NPI registry.
What taxonomy line describes CLINTON SWENSON?
For research purposes, treat CLINTON SWENSON as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does CLINTON SWENSON serve?
CLINTON SWENSON's listing highlights Minneapolis, Minnesota; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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