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

Jay Swanson, PA

Individual provider Physician Assistant · NPI 1649681651

Jay Swanson, PA is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2014, 12 years ago. Practices with Nottawaseppi Huron Band of the Potawatomi, an 8-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

80 68th St SE
Grand Rapids, MI 49548-6980
Phone: (616) 391-8242
Fax: (616) 391-8317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007019 (MI)

Record details

NPI number1649681651
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESMay 13, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Nottawaseppi Huron Band Of The Potawatomi — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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