MR. NICKALAUS PHILLIP SWAN (NP) – Acute Care Nurse Practitioner, NPI 1265962500

MR. NICKALAUS PHILLIP SWAN (NP) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP137514 (TX). The NPI Number for MR. NICKALAUS PHILLIP SWAN (NP) is 1265962500

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MR. NICKALAUS PHILLIP SWAN (NP)
NPI
1265962500
Phone
(972) 281-7071
Address
3804 ROCK BLUFF DR
Enumeration Date
19 June 2017
Last Update Date
30 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9729891118
Graduation Year
2017 (9 years ago)
PAC ID
1254694458
Group Practice PAC ID
8426411232
Professional Enrollment ID
I20181219002992
Address ID
TX750937531PL5041XPLXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MR. NICKALAUS PHILLIP SWAN (NP)

  • 3804 ROCK BLUFF DR

    DALLAS, TX 752275661

    Phone: (972) 281-7071

    Type: Mailing

  • 5200 Harry Hines Blvd

    Dallas, TX 752357709

    Phone: (972) 281-7071

    Type: Location

  • Texas Health Harris Methodist Hospital Fort Worth, 1301, Pennsylvania Avenue, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 76104

    Phone: (972) 281-7071

    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: 2018-12-19

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
I20181219002992INurse PractitionerTXTBD

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
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes9783$0
99342Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes7474$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)4036$0
81002Urinalysis, manual test3935$0
87804Detection test by immunoassay with direct visual observation for influenza virus3719$0
View full utilization report →

Insurance plans in this area (ZIP 75227)

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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: 8426411232View full group profile
NameSpecialtyState
Nurse PractitionerTX
Internal MedicineTX
Nephrology, Internal MedicineTX
Internal MedicineTX

Reviews

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Frequently asked questions

Where can patients find MR. NICKALAUS PHILLIP SWAN (NP)'s NPI?
You can confirm MR. NICKALAUS PHILLIP SWAN (NP) with NPI 1265962500; it appears in the national provider directory.
Is MR. NICKALAUS PHILLIP SWAN (NP) active in the national directory?
MR. NICKALAUS PHILLIP SWAN (NP)'s public NPI profile is in an active state.
Can you summarize MR. NICKALAUS PHILLIP SWAN (NP)'s specialty in plain language?
Clinically, the directory lists MR. NICKALAUS PHILLIP SWAN (NP) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MR. NICKALAUS PHILLIP SWAN (NP) practice in Texas?
You will see Dallas, Texas on file for MR. NICKALAUS PHILLIP SWAN (NP) alongside any extra practice locations.
What if Dallas, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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