Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annie Ray Dewitt Swan

Individual provider Physician Assistant · NPI 1871055319

Annie Ray Dewitt Swan is a Physician Assistant in Aurora, Colorado. Graduated from Louisiana State University School of Medicine in New Orleans in 2019, 7 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Louisiana.

Years since qualifying
7
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
CO, LA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

1635 Aurora Ct
Aurora, CO 80045-2517
Phone: (720) 848-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Cook St Ste 210, Denver, CO 80206-5328 — (720) 516-9402

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA.0006934 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 1163545 (LA)
Physician Assistant Taxonomy 363A00000X · Licence PA.0006934 (CO)

Record details

NPI number1871055319
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2019
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing addressPo Box 110429, Aurora, CO 80042-0429

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2019 (7 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Aurora